TURP治疗良性前列腺增生症1500例

Treatment Experience of TURP for Benign Prostatic Hyperplasia

目的探讨 TURP 对良性前列腺增生症的治疗效果。方法 1500例前列腺增生症患者均行TURP 治疗。结果所有患者手术过程顺利,平均切除前列腺组织36g。平均电切时间40 min。无电切综合征发生。1290例(86%)3个月随访 IPSS 和 QOL 分别由术前的28.8±2.2,和5.7±0.8降至术后的8.9±1.8和2.0±0.4,残余尿量由术前的平均96 ml 降至术后的20±15 ml,平均最大尿流率(Qmax)和平尿流率(Qave)由术前的5.8/s 和4.6/s 增至术后的19.8/s 和13/s。手术前后比较差异均有统计学差异(P<0.05)。术后疗效满意,无严重并发症。结论经尿道前列腺电切治疗前列腺增生症,是一种安全有效的治疗方法。

Objective To investigate the therapeutic efficacy of TURP on patients with BPH. Methods The TURP was carried on the 1500 eases with BPH. Results All the operations were successful without complications, the average weight of prostate was 36g and average electric ablation time was 40 minutes. At the follow-up of 3 months about 1209 cases 186 % ）, IPSS and QOL decreased from preoperative 28.8±2.2 and 5.7±0.8 to postoperative 8.9±1.8 and 2.0±0.4, the average residual urinary volume decreased from 96 ml to 20±15 ml. the average maximum urinary flow rate （Qrnax） and average urinary flow rate （Qave） increased from 5.8/ s and 4.6/s to 19.8/s and 13/s. There were significant differences between pre-operation and post-operation with great satisfaction （P〈0.05）. Conclusions TURP is a safe and effective therapeutic method for BPH.