论文部分内容阅读
目的 :提高伴有尿潴留的高危前列腺增生症患者的治疗效果。方法 :2 1例伴有较严重的内科疾病 ,并发急、慢性尿潴留的高危前列腺增生症患者联合应用经尿道前列腺电汽化术和电切割术。结果 :除 1例患者于手术行将结束时包膜切穿外 ,其余 2 0例均顺利完成手术 ,切除前列腺增生组织 10～ 12g。均排尿通畅、梗阻缓解。随访 5～ 12月 ,前列腺症状评分由 30～ 35降至 3.5～ 10 .5 ,生活质量评分由 5～ 6分降至 0～ 3分。结论 :积极治疗合并症 ,联合应用经尿道前列腺电汽化和电切术治疗高危前列腺增生症是一种易掌握、安全、疗效确切的方法
Objective: To improve the treatment effect of high-risk benign prostatic hyperplasia patients with urinary retention. METHODS: Twenty-one patients at high risk of benign prostatic hyperplasia (BPH) accompanied by severe medical problems and having acute and chronic urinary retention were treated with transurethral electrovaporization and electrotomy. Results: Except one patient underwent surgical resection of the capsule at the end of the operation, the other 20 patients underwent surgery successfully and 10 to 12 g of benign prostatic hyperplasia was removed. Urination are smooth, obstruction ease. Follow-up from May to December, the prostate symptom score decreased from 30 to 35 to 3.5 to 10.5, and the quality of life score decreased from 5 to 6 to 0 to 3. Conclusion: Active treatment of comorbidities, combined with transurethral electrovaporization of the prostate and resection of the prostate in the treatment of high-risk benign prostatic hyperplasia is an easy, safe and effective method