单侧叶电切治疗高危重度前列腺增生症39例疗效观察

Electrification Prostatectomy of Single Lobe for Treatment of Serious Benign Prostatic Hyperplasia (Report of 39 cases)

目的 为寻求安全而有效的方法治疗高危重度前列腺增生症 (BPH) ,探讨经尿道单侧叶电切方法疗效。方法 应用经尿道单侧叶电切治疗BPH 39例。结果 切除前列腺重量平均 37g ,手术时间平均 43min ,术中失血量平均 5 0ml;无电切综合征及大量失血发生。 31例获随访 1～ 2 4个月 ,IPSS评分平均从术前的 34 3分降至 8 7分 ;最大尿流率从平均5 6ml/s增加至 17.4ml/s,生活质量明显改善。结论 经尿道单侧叶前列腺电切方法具有手术时间缩短 ,出血量少 ,疗效显著等优点 ,是一种较理想的姑息切除术式 ,适用于高危重度BPH的治疗。

Objective To observe curative effect and method of transurethral electrification of prostatectomy of single lobe for treatment of serious benign prostatic hyperplasia (BPH) Method 39 cases of BPH were treated by using transurethral electrification of prostatetomy of single lobe Result The mean operative time, intraoperative bleeding and weight of prostate tissue resected were 43 minutes, 50 ml and 37 g, respectively No patients experienced TUR syndrome and serious bleeding 31 patients were followed up for 1～24 months IPSS decreased from 34.3 to 8.7 and MFR increased from 5.6 ml/s to 17.4 ml/s Conclusion Transurethral electrification of prostatetomy of single lobe was an operative method with less bleeding and shorter operative time for serious BPH