经尿道电汽化切除术治疗前列腺增生症82例报告

Transurethral electro-vaporization for benign prostatic hyperplasia (A report of 82 cases)

目的研究经尿道途径治疗良性前列腺增生的有效方法。方法经尿道电汽化切除术治疗前列腺增生症(BPH)82例为经尿道手术组,经耻骨上前列腺切除术治疗BPH39例为对照组,比较两组的出血量、输血量、输血率及最大尿流率(MFR)。结果经尿道手术组、对照组的出血量、输血量、输血率分别是(135±85)ml、19ml、11%,(310±241)ml、230ml、69.2%(P<0.01)。MFR分别为(16.24±4.36)ml/s、(17.31±5.12)ml/s(P>0.05)。本组无TUR综合征,膀胱破裂、继发出血各1例(1.2%),前尿道狭窄11例(13.4%),无永久尿失禁发生。结论经尿道电汽化切除术具有出血少、输血率低、疗效显著、并发症少及安全等优点,是治疗具较大前列腺的BPH的有效方法。

Objective To Study the effective method of transurethral approach to treat the benign prostatic hyperplasia.Methods 82 cases were treated by transure thral ectectro vaporitation for BPH as urethral surgical group,and 39 cases were treated by transsupra pubic prostatectomy as control. Both groups were compared with the hemorrhagic volume,blood transfusion volume,blood transfusion rate,and maximal uroflow rate (MFR).Results In the transurethral operative group and control group,hemorrhagic volume,blood transfusion volume and blood transfusion rate were 30ml to 350ml(average 135±85ml),200ml(19ml),11% and 50ml to 850ml(310±241),200ml to 800ml(230ml) and 69 2% respectively(P< 0 01).However,the MFR was no difference between two groups.No TUR syndrome and permanent urinary incontinence were found in this group.vesical rupture,and secondary bleeding were happened in 1 case respectively.Anterior urethral stricture was in 11 cases(13 4%).Conclusion Transurethral eclectro vaporization has advantages of less bleeding,lower blood transfusion rate,obvious efficacy,less complication and safety.It is an effective method for treating BPH.