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目的探讨膀胱内前列腺突出(IPP)程度与经尿道前列腺汽化电切术(TURP)手术治疗良性前列腺增生(BPH)效果的关系。方法对60例有适应证的BPH病人,行经腹超声通过中线矢状面测量IPP长度,根据IPP程度将病人分为2组:(1)IPP<10mm为Ⅰ组;(2)IPP≥10mm为Ⅱ组。比较两组病人手术后国际前列腺症状评分(IPSS)、最大尿流率(Q_(max))和排尿后残余尿量(PVR)的改善情况。结果手术治疗3月后,测定两组病人IPSS,Q_(max)和PVR,均有改善,差异有统计学意义(P<0.05),IPP>10mm组各项疗效指标改善更明显。结论本研究结果显示经腹超声测量的IPP程度可以预测手术治疗BPH的效果,对于IPP≥10mm的BPH组病人,手术治疗效果更明显。
Objective To investigate the relationship between intrauterine prostatic protrusion (IPP) and transurethral resection of prostate (TURP) in the treatment of benign prostatic hyperplasia (BPH). Methods The IPP length of midazolam was measured by transabdominal sonography in 60 patients with BPH. According to the degree of IPP, the patients were divided into 2 groups: (1) IPP <10mm was group Ⅰ; (2) IPP≥10mm was Group Ⅱ. The results of International Prostate Symptom Score (IPSS), maximal urinary flow rate (Q max) and residual urine output after urination (PVR) were compared between the two groups. Results After 3 months of operation, the IPSS, Q max and PVR of the two groups were all improved, the difference was statistically significant (P <0.05). The curative effect index of IPP> 10mm group improved obviously. Conclusion The results of this study show that the degree of IPP measured by transabdominal ultrasonography can predict the effect of surgical treatment of BPH. For BPH patients with IPP≥10mm, the surgical treatment effect is more obvious.