简化TUVP在高危前列腺增生症治疗中的应用(附63例报告)

Simplified transurethral vaporization of the prostate for the treatment of elderly and high-risk patients with benign prostatic hyperplasia(report of 63 cases)

目的探讨简化经尿道前列腺汽化电切术（TUVP）治疗高危前列腺增生症的疗效及安全性。方法采用简化TUVP治疗高危前列腺增生症患者63例。结果63例平均手术时间18min,平均术中失血量32ml,无一例输血和发生TURS,术后5～7d拔除导尿管除1例排尿不畅外,其余均能通畅排尿。随访3～28个月,均未出现迟发性出血、急性尿潴留等并发症。术后3个月国际前列腺症状评分（IPSS）由术前（27.6±4.1）分下降至（10.6±2.5）分,生活质量评分（QOL）从（4.8±0.6）分降至（2.6±0.4）分,最大尿流率（Qmax）由（7.2±2.3）ml/s增加至（15.3±2.1）ml/s,残余尿（PVR）从（143.0±51.8）ml下降为（45.0±21.5）ml（P〈0.05）。结论简化TUVP是一种操作简便、安全有效的治疗高危前列腺增生症的手术方法。

Objective To evaluate the efficiency and safety of simplified TUVP for the treatment of elderly and high-risk patients with benign prostatic hyperplasia. Methods Sixty-three elderly and high-risk patients with BPH were treated with simplified TUVP, and the data was analyzed retrospectively. Results The mean operation time was 18 minutes, and the mean blood lose was 32 ml. No patients required blood transfusion or suffered from TURS. The catheter was removed 5～7 days postoperatively, one case had dysuria. All cases were followed up for 3～28 months, no tardus hemorrhage or acute urine retention occurred. The mean Qmax increased from （6.5±2.4）ml/s to （19.8±2.1）ml/s; mean IPSS and QOL decreased from （27.6±4.1） and （4.8±0.6） to （10.6±2.5） and （2.6±0.4）, Qmax and PVR increased from （7.2±2.3） and （143.0±51.8）ml to （15.3±2.1）ml/s and （45.0±21.5）ml respectively（P〈0.05）. Conclusion simplified TUVP is a simple, effective and safe method to treat elderly and high-risk patients with BHP.