摘要
目的:探讨良性前列腺增生症(BPH)的有效治疗方法。方法:对178例BPH行TUVP结合TURP术。结果:手术时间40~130min,平均67min;5例发生轻度TURS,3例术中输血,术后平均拔管时间为4.4d(1~6d),术后随访3~36个月,国际前列腺症状评分(IPSS)由术前(32.4±3.8)分降至术后的(7.3±1.8)分(P<0.01),最大尿流由术前(6.3±1.4)ml/s升至术后的(20.2±2.5)ml/s(P<0.01)。结论:TUEVP和TURP联合治疗BPH,并发症少,安全性高,患者康复快,疗效显著是治疗BPH值得选择的方法。
Objective:To evaluate the effect of combined use of transurethral vaporization of prostate(TUVP) and transurethral resection of the prostate(TURP) in the treatment of benign prostatic hyperplasia(BPH). Methods:TUEVP and TURP were concomitantly perfomed in 178 cases of BPH.Results:The mean operation time was 67 minutes (40 to 130min).Postoperatively,transurethral resection syndrome(TURS) occurred in five case,three cases needed blood transfusion during the operation,The mean catheterization time was 4.4 days(1 to 6 days),The peak flow rate increased from (6.3±1.4)ml/s to (20.2±2.5)ml/s (P〈0.01),and the IPSS decreased from (32.4±3.8) to (7.3±1.8) (P〈0.01) during 3 to 36 months.Conclusion:TUEVP combined with TURP is safe and effective method,with fewer complications and less influence on physiological function to treat BPH.
出处
《现代医药卫生》
2008年第5期648-649,共2页
Journal of Modern Medicine & Health
关键词
良性前列腺增生症
经尿道前列腺电切术
经尿道前列腺汽化术
Benign prostatic hyperplasia
Transurethral resection of prostate
Transurethral vaporization of prostate