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目的:探讨良性前列腺增生症(benign prostatic hyperplasia,BPH)应用单极电切(TURP)经尿道前列腺剜除术的方法及疗效。方法:应用普通单极电切设备,采用经尿道前列腺剜除术治疗良性前列腺增生症患者21例。并对患者术前、术后的国际前列腺症状评分、生活质量评分进行比较。结果:全部患者均顺利完成手术,切除前列腺重量平均45 g,平均手术时间90 min,术后平均留置导尿管5~7天,术后平均住院时间5.5天。术后前列腺症状评分(IPSS)平均减少24分,生活质量评分平均减少3分。结论:经尿道单极电切前列腺剜除术治疗BPH安全、有效、并发症少,所需设备价格较低,特别适合基层医院开展,是一种值得推广的方法。
Objective: To investigate the method and efficacy of transurethral resection of prostate using unipolar electrosurgery (TURP) in benign prostatic hyperplasia (BPH). Methods: Twenty-one patients with benign prostatic hyperplasia (BPH) underwent transurethral resection of the prostate using ordinary monopolar electrosurgical equipment. The preoperative and postoperative international prostate symptom scores and quality of life scores were compared. Results: All patients underwent successful operation. The average prostatectomy weight was 45 g and the average operation time was 90 min. The mean postoperative catheterization time was 5 to 7 days and the average postoperative hospital stay was 5.5 days. Postoperative prostate symptom score (IPSS) decreased by an average of 24 points, the average quality of life score decreased by 3 points. Conclusion: Transurethral unipolar prostatectomy is safe and effective in treating BPH and has fewer complications and lower equipment cost, which is especially suitable for primary hospitals. It is worth popularizing.