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目的评价急诊行经尿道前列腺电切术的临床价值。方法2002年11月～2005年6月,采用急诊经尿道前列腺电切术治疗医源性前列腺损伤、患者不配合导尿治疗造成前列腺部尿道损伤及膀胱血块填塞29例前列腺增生症病人,Ⅱ度增生14例(其中2例术后病理证实为前列腺癌),Ⅲ度增生15例,国际前列腺症状评分(IPSS)为17～35分。结果29例平均手术时间65min,术后随访12～29个月,平均20.5个月,排尿情况良好。结论急诊经尿道前列腺电切术治疗前列腺增生症合并急性膀胱血块填塞和尿道损伤安全有效,缩短病人住院周期,病人易于接受,但应谨慎选择病例。
Objective To evaluate the clinical value of emergency transurethral resection of prostate. Methods From November 2002 to June 2005, emergency transurethral resection of prostate was used to treat iatrogenic prostate injury. The patients did not cooperate with catheterization to cause prostatic urethral injury and cystostomy in 29 patients with benign prostatic hyperplasia, degree Ⅱ Fourteen cases of hyperplasia (two of them were diagnosed as prostate cancer by pathology), 15 cases of Ⅲ degree hyperplasia and 17-35 points of International Prostate Symptom Score (IPSS). Results The average operation time of 29 cases was 65 minutes. The patients were followed up for 12 to 29 months with an average of 20.5 months. The voiding condition was good. Conclusions Emergency transurethral resection of the prostate for the treatment of benign prostatic hyperplasia combined with acute cystocele blockade and urethral injury is safe and effective, which can shorten the hospitalization period of patients and the patients are easy to accept. However, the cases should be carefully selected.