经尿道前列腺电切术治疗高危高龄前列腺增生症分析

Treatment of senior and high risk benign prostatic hyperplasia by transurethral resection of prostate

目的探讨高危高龄前列腺增生患者治疗的疗效和安全性。方法对117例高危高龄前列腺增生症患者行姑息性前列腺电切术,所有病例资料进行回顾性分析。结果姑息性前列腺电切术的总有效率为88.9%。随访3个月至77个月,大多取得良好的治疗效果,IPSS评分平均下降了14.3分,生活质量得到明显改善;在有尿流动力学数据的76例患者中,最大尿流率平均增加了9.9ml/s。结论姑息性前列腺电切术治疗高危高龄前列腺增生症是安全有效的。

Objective To investigate the efficacy and safety of treatment for senior and high risk patients with benign prostatic hyperplasia. Methods The clinical data of 117 BPH patients accompanied with high risk science 1999 were analysed retrospectively. All of them received TURP. Results The total efficiency of the TURP was 88.9%. At the 3 month to 71 months following up, the IPSS of patients dropped from 27.6 before operation to 11.3 after operation; the mean QOL decreased from 5.2 before operation to 2.0 postoperatively; in 76 patients who received urodynamic test, the Qmax increased from 11.7 ml/s to 17.6ml/s; the residual urine volume reduced from 128ml to 32.5ml. These changes were statistically significant （P〈 0.01）. Conclusion TURP is an effective and safe method for the treatment of BPH patients with high risk.