【摘要】 目的探讨经尿道前列腺电切(TURP)治疗高危前列腺增生症(BPH)的安全性及围手术期处理。方法应用经尿道前列腺电切(TURP)治疗高危前列腺增生症患者85例。结果85例手术时间均为30-90min,手术切除前列腺组织质量30-60g,平均40g,失血量150-250ml,无电切综合征(TURS)发生。术后随访2-24个月,国际前列腺症状评分(IPSS)由术前(27.0±4.5)分降至术后(8.5±2.5)分,生活质量评分(QOL)由术前(4.5±0.7)分降至术后(2.2±0.3)分,最大尿流率(Qmax)由术前0-6ml/s升至术后(14.0±3.5)ml/s,剩余尿量(RUV)由术前80-400ml降至术后20-30ml,4项指标与术前比较均有统计学意义(P<0.01)。结论经尿道前列腺电切术是治疗高危前列腺增生症有效、安全性高且并发症少的方法。更多还原

【Abstract】 Objective To investigate the safety of the transurethral resection of prostate (TURP) in the treatment of benign prostatic hyperplasia(BPH) and the perioperative management. Methods85 patients of highrisk patients with BPH were treated with TURP. ResultsThe mean weight of recetion prostate tissue was 40g (average 30-60g), patients were followed up for 2 to 24 months, the operative time of 85 cases were 30-90 min, blood loss were 150-250ml, no syndrome(TURS) took place. International prostate symptom score(IPSS) decreaced from preoperative(27.0±4.5) to (8.5±2.5), score of the quality of life(QOL) decreaced from preoperative(4.5±0.7) to (2.2±0.3), maximum flow rate(Qmax) increased from preoperative 0-6 mL/s to (14.0±3.5)mL/s, residual urine volume(RUV) decreased from preoperative 80-400ml to 20-30ml. There was significant difference between the preoperative index and the postoperative index(P<0.01). ConclusionTransurethral resection of prostate for the treatment of benign prostatic hyperplasia in high risk is effective and safe.更多还原