论文部分内容阅读
目的探讨经尿道前列腺汽化电切术(TURP)治疗高危前列腺增生(BPH)患者的安全性和疗效。方法采用治疗TURP高危BPH患者18例,随访6~24个月。结果手术时间30~100 min,平均(50±22)min,术中出血少,均未输血,无前列腺电切综合征(TURS)及真性尿失禁发生,国际前列腺症状评分(IPSS)术前为(23±4.5)分,术后3个月降至(8.6±2.5)分(P<0.01)。结论应用经尿道前列腺汽化电切术治疗高危BPH安全性高、并发症少,疗效确切,明显拓宽了BPH的手术适应证。
Objective To investigate the safety and efficacy of transurethral vaporization of the prostate (TURP) in the treatment of high-risk benign prostatic hyperplasia (BPH). Methods Twenty-eight BPH patients with high-risk TURP were followed up for 6-24 months. Results The operation time was 30-100 min with an average of (50 ± 22) min with less intraoperative blood loss, no blood transfusion, no TURS and true incontinence. The International Prostate Symptom Score (IPSS) was (23 ± 4.5) points and decreased to (8.6 ± 2.5) points 3 months after surgery (P <0.01). Conclusion The application of transurethral vaporization of the prostate for the treatment of high-risk BPH has the advantages of high safety, less complications and definite curative effect, which obviously broadens the indications for surgical treatment of BPH.