结扎输精管及其静脉治疗老年前列腺增生症的研究

A Study on the treatment of benign prostate hypertrophy by vasoligation

目的:探讨结扎输精管及其静脉治疗老年前列腺增生症的效果。方法:结扎30例前列腺增生患者的输精管及其静脉,并与口服非那雄胺片的30例患者进行对比,在手术前、手术后半年及手术后两年分别进行前列腺症状评分、测量最大尿流率和平均尿流率,用B超测前列腺体积和膀胱残余尿量进行对比。结果:术后两年与术前对比,手术结扎输精管及其静脉组患者的IPSS、最大尿流率、平均尿流率、前列腺体积以及膀胱残余尿量都有显著改善。结论:结扎输精管及其静脉是治疗老年前列腺增生症的一种有效方法,手术小、风险少、费用低。

Objective： To investigate the efficiency of vasoligation and deferent vein ligation on the treatment of benign prostate hypertrophy （BPH）. Methods： Thirty patients underwent vasoligation and deferent vein ligation while another 30 patients received Finasteride orally. IPSS. maximum flow rate （MFR） and average flow rate （AFR） were compared between two groups before surgery, six months and two years after surgery. Results： Two years after surgery, the patients who underwent vasoligation and deferent vein ligation showed significant improvements in IPSS, MFR, AFR when compared with the patients receiving Finasteride orally. Conclusion： Vasoligation and deferent vein ligation is an effective treatment for BPH. In addition, this procedure has advantages including minimized invasion, less risk, as well as low cost.