经尿道前列腺电切术治疗高危良性前列腺增生(1)
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(1武警医学院附属医院泌尿外科 天津 300162；
2天津医科大学第二医院泌尿外科 天津 300211)
【摘要】目的：探讨经尿道前列腺电切术治疗高危良性前列腺增生患者的疗效及安全性。方法：回顾分析本院收治的41例高危良性前列腺增生患者的临床资料和手术疗效。结果: 41例患者全部安全度过围手术期，无严重并发症。术后6个月测定相关指标，结果提示：膀胱残余尿由术前的(160±8)ml降至(20±5)ml，最大尿流率Qmax由术前的(4.3±0.8)ml/s升至(16±1.1)ml/s，国际前列腺症状评分由术前的(26.9±6)分降至(9.0±1.8)分，生活质量评分由术前的(5.1±1.0)降至(2.1±0.8)分。术前、术后6个月之间的差别具有统计学意义(P<0.O5)。结论 经尿道前列腺电切术治疗高危良性前列腺增生患者具有较好的疗效及安全性。
【关键词】经尿道前列腺电切术；治疗；高危；良性前列腺增生
Transurethral resection of the prostate in high-risk patients with benign prostatic hyperplasia
Li Chengwen1 Shi Lihua1 Liu Weiru1 Li Hui1 Sun Guang2
【Abstract】 Objective To explore the efficacy and safety of use of transurethral resection of the prostate(TURP) in high-risk patients with benign prostatic hyperpasia(BPH).Methods Forty-one high-risk patients with BPH in our hospital were reviewed.Result The mean operation time was (60±7)min and mean blood loss was (80±12)ml.No severe complications were observed. 6 months after operation ,the residual urine volume(RUV) decreased from (160±8)ml to(20±5)ml. The maximum flow rate(Qmax) increased from (4.3±0.8)ml/s to(16±1.1)ml/s.The international prostate symptom score(IPSS) and quality of life(QOL) decreased from 26.9±6 to 9.0±1.8 and 5.1±1.0 to 2.1±0.8 respectively. RUV，Qmax，IPSS and QOL were all statistically different from the pre-opertive values (P<0.05).Conclusion TURP can be a safe and effective treatment in high-risk patients with BPH.
【Keywords】Transurethral resection of the protate;Treatment;High-risk benign prostatic hyperplasia
【中图分类号】R697+32【文献标识码】A【文章编号】1008-6455(2011)06-0172-01
良性前列腺增生(benign prostatic hyperplasia,BPH)是老年男性的一种常见病 ......
(1武警医学院附属医院泌尿外科 天津 300162；
2天津医科大学第二医院泌尿外科 天津 300211)
【摘要】目的：探讨经尿道前列腺电切术治疗高危良性前列腺增生患者的疗效及安全性。方法：回顾分析本院收治的41例高危良性前列腺增生患者的临床资料和手术疗效。结果: 41例患者全部安全度过围手术期，无严重并发症。术后6个月测定相关指标，结果提示：膀胱残余尿由术前的(160±8)ml降至(20±5)ml，最大尿流率Qmax由术前的(4.3±0.8)ml/s升至(16±1.1)ml/s，国际前列腺症状评分由术前的(26.9±6)分降至(9.0±1.8)分，生活质量评分由术前的(5.1±1.0)降至(2.1±0.8)分。术前、术后6个月之间的差别具有统计学意义(P<0.O5)。结论 经尿道前列腺电切术治疗高危良性前列腺增生患者具有较好的疗效及安全性。
【关键词】经尿道前列腺电切术；治疗；高危；良性前列腺增生
Transurethral resection of the prostate in high-risk patients with benign prostatic hyperplasia
Li Chengwen1 Shi Lihua1 Liu Weiru1 Li Hui1 Sun Guang2
【Abstract】 Objective To explore the efficacy and safety of use of transurethral resection of the prostate(TURP) in high-risk patients with benign prostatic hyperpasia(BPH).Methods Forty-one high-risk patients with BPH in our hospital were reviewed.Result The mean operation time was (60±7)min and mean blood loss was (80±12)ml.No severe complications were observed. 6 months after operation ,the residual urine volume(RUV) decreased from (160±8)ml to(20±5)ml. The maximum flow rate(Qmax) increased from (4.3±0.8)ml/s to(16±1.1)ml/s.The international prostate symptom score(IPSS) and quality of life(QOL) decreased from 26.9±6 to 9.0±1.8 and 5.1±1.0 to 2.1±0.8 respectively. RUV，Qmax，IPSS and QOL were all statistically different from the pre-opertive values (P<0.05).Conclusion TURP can be a safe and effective treatment in high-risk patients with BPH.
【Keywords】Transurethral resection of the protate;Treatment;High-risk benign prostatic hyperplasia
【中图分类号】R697+32【文献标识码】A【文章编号】1008-6455(2011)06-0172-01
良性前列腺增生(benign prostatic hyperplasia,BPH)是老年男性的一种常见病 ......
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