【摘要】 目的探讨高龄高危前列腺增生患者经尿道前列腺气化电切术的临床疗效。方法应用经尿道前列腺气化电切术治疗高龄高危前列腺增生患者36例,观察手术时间、术中出血量、手术并发症,记录并分析手术前后国际前列腺症状评分(IPSS)、生活质量评分(QOL)、残余尿量(PVR)及最大尿流率(Qmax)等指标的变化。结果全部患者均安全度过围手术期,平均手术时间30～120min,失血量50～200mL;术后随访6～12个月排尿通畅,疗效满意。IPSS由术前(26.5±2.8)分降至术后(8.4±1.3)分,QOL由术前(7.3±1.2)分降至术后(2.8±0.3)分,PVR由术前70～430mL降至术后14～28mL,Qmax由术前0～10mL/s升至术后(15.2±2.6)mL/s;4项指标与术前比较,差异均有显著性(P<0.01)。结论重视并加强个体化围手术期的处理,对高龄高危前列腺增生患者行经尿道前列腺气化电切术,手术安全有效。更多还原

【Abstract】 [Objective] To study the clinical efficiency of transurethral vaporization resection of the prostate(TURP) in advanced age and high risk patients with benign prostatic hyperplasia(BPH).[Methods] 36 advanced age and high risk patients with BPH were treated with TURP.The operation time,blood loss and surgical complications were observed.Before and after surgery,the international prostate symptom score(IPSS),quality of life score(QOL),residual urine volume(PVR),maximum urinary flow rate(Qmax) and other indicators of changes were recorded and analyzed at the same time.[Results] All patients were safe during the perioperative period,the average operation time was 30～120 menthe blood loss was 50～200mL.Patients were followed up for 6 to 12 months,all of whom had fluent urination and the effect was satisfied.Before and after operation,the IPSS decreased from(26.5±2.8) to(8.4±1.3),QOL decreased from(7.3±1.2) to(2.8±0.3) min,PVR decreased from 70～430 mL to 14～28 mL and Qmax improved from 0～10 mL/s to(15.2±2.6) mL/s.Compared with preoperative,four indicators were all significant differences(P<0.01).[Conclusion] Under strengthening individual attention and periprocedural treatment,TURP is safe and effective therapy in advanced age and high risk patients with BPH.更多还原