经尿道电切与钬激光联合治疗重度BPH90例报告

A report of 90 serious cases of BPH treatment by TURP with tuholp

目的：探讨经尿道电切联合钬激光治疗重度BPH的临床疗效及安全性。方法：应用经尿道电切联合钬激光治疗重度BPH患者90例,观察平均手术时间、术中出血量、术后留置导尿管时间、手术并发症、国际前列腺症状评分(IPSS)的差异。结果：本组前列腺重量55～106g,平均72g；按ROUS标准：Ⅲ度67例,Ⅳ度2例；手术时间50～120min,平均70min；术中出血20～180ml,平均50ml。术中、术后均未发生TURS、继发性大出血及排尿困难,2例有暂时性尿失禁,术后留置尿管1～2天,平均住院5天。全部患者随访6个月～2年,排尿梗阻症状明显改善。术后1个月,IPSS由术前平均30．6分下降到术后6．7分；术后3个月复查剩余尿0～3ml结论：探讨经尿道电切联合钬激光治疗重度BPH可综合两者优点,疗效显著,并发症少,安全性高,可同时粉碎膀胱结石,术后恢复快,是治疗重度BPH的有效方法。

Objective：To discuss the effection and security of the transurethral resection of the prostate for the treatment of symptomatic BPH. Methods：90 patients who were diagnosised BPH were cured by the transurethral resection of the prostate foe the treatment of symptomatic BPH. In after the observation average surgery time, the incidence of blood transfusion and TURS occurring, catheration time, hospital stay time, the difference of IPSS. Results.. This group of prostate glands weight 55- 106 g , average 72 g. According to ROUS standard.. 67 examples who were Ⅲ ograde, 23 examples who were Ⅳograde, Surgery time 50- 120 rain,In the average 70 rain, Surgery bleeds 20- 180 ml, Average 50 ml. In after the surgery, the surgery has not occured TURS, following the massive hemorrhage and the difficulty of the urinates. Two examples have temporarily the urine incontinence, The patients leaves ureter for 1-2 day after the surgery,The average hospitalized day is 5 days. The time of all case is 6 months to 2 years, All patients improved the symptom of urinate obstruction. After operation, IPSS droped to 6.7 from the former average 30.6, Afer three months, reexamination indicate that the remained urinate is 0-3 ml. Conclusions： There are two merits about the transurethral resection of the prostate foe the treatment of symptomatic BPH. At the same time, the vesical calculus is crushed. The surgery effect is remarkable,The complication is few,The security is high,patients recuperate quickly. This is a good way to cure serious prostatic hypertrophy.