经尿道前列腺切除术1000例分析评估

TURP:analysis and evaluation of 1 000 cases

对１９７８年６月以来所施行的１０００例良性前列腺增生症（ＢＰＨ）行经尿道前列腺切除术（ＴＵＲＰ）者进行分析评估。结果临床症状改善者９７５例（９７．５％），效果不良者２０例（２．０％），死亡５例（０．５％），其中１９９０年以后的５２７例中仅１例死亡（０．１９％）。其并发症总发生率为１０．１％，其中Ａ组为１４．２％，Ｂ组为６．５％。文中还分析讨论了发生并发症的原因及影响手术效果的因素，并对ＴＵＲＰ在治疗ＢＰＨ中的适应范围提出了自己的意见。

Transurethral resection of prostate (TURP)has been performed for 1 000 cases with benign prostatic hyperplasia (BPH) in our hospital since June 1978.The results were analysed and evaluated.975 patients were clinically improved(97.5%),16 patients had unsatisfied outcome (1.6%).5 patients died,the overall mortality was 0.5%. Of which,4 patients died before 1990,the mortality was 0.8%(4/473).One patient died after 1990, the mortality decreased to 0.19%(I/527 ).4 patients diverted to openprostatectomies, The total morbidity was 10.6%, The indications of TURP for patients with BPH.The causes of complications and the factors affecting operative results were also discussed.