分隔切除法治疗重度前列腺增生(附33例分析)

Treatment of Severe BPH by Separated-cut Transurethral Resection of the Prostate

目的探讨分隔切除法经尿道汽化电切术治疗重度前列腺增生的价值。方法33例前列腺(重40～87g)增生的患者采用分隔切除法经尿道汽化电切术治疗,观察手术时间、疗效和并发症。结果手术时间50～130min,平均75min;平均切除前列腺组织37g;术后24～96h拔除导尿管,排尿均顺畅。全部病例随访3～24个月,IPSS由术前平均30分降至术后平均8分,剩余尿量由术前平均350ml降至术后平均10ml。无1例出现电切综合症。术后并发尿道口狭窄1例(3.3%),暂时性尿失禁1例(3.3%)。结论分隔切除法经尿道汽化电切术治疗重度前列腺增生手术时间短、术中出血少、电切综合症发生率低,是治疗重度前列腺增生的好方法。

Objective:To evaluate the efficacy of separated-cut transu re thral resection of the prostate in the treatment of severe BPH.Methods:Thirty-t hree cases of severe BPH whose prostate's weigh rang from 40～87 g were treated by separated-cut transurethral resection of the prostate.Results:The average op eration time was 75 minutes;The average IPSS decrease from 30 to 8;The residual urinary volume decrease from 350 ml to 10 ml.Transurethral resection syndrome wa s not occurred.Conclusion:Separated-cut transurethral resection of the prostate in the treatment of severe BPH is effective and safe.