经尿道前列腺电切术治疗前列腺增生症540例的体会

Experience of transurethral resection of prostate in 540 patients with benign prostate hyperplasia

目的总结我科在近9年来经尿道前列腺电切术(TURP)治疗前列腺增生症的体会。方法对1999年6月～2008年10月收治的540例前列腺增生症(BPH)患者行TURP手术治疗的临床资料进行回顾性分析。结果本组病例的手术时间是30～200min,平均(54.0±20.4)min,术中输血0～800mL,切除前列腺组织15～100g,平均(38.5±18.1)g。术后持续膀胱冲洗3.5～5.0d,留置导尿管5～7d,无真性尿失禁,无术中及术后死亡。5例术中转开放手术。18例术中发生经尿道电切综合征(TURS)。出院后2周～3个月内再次手术3例,1～8年再次手术5例。结论TURP治疗BPH具有出血少、恢复快、疗效佳、治愈率高等优点,是治疗BPH患者的首选方法。

Objective To summarize the experience of transurethral resection of prostate in recent nine years. Methods From June 1999 to October 2008, the clinical data of 540 cases with benign hyperplasia of prostate received transurethral resection of prostate were analyzed retrospectively. Results In this group, the mean operative time was （54.0±20.4）min, （range from 30-200 min.）. Intraoperative blood transfusion was 0-800 ml. The weight of resection prostate was 38.5±18.1g, （range from 15-100g）. Postoperative continuous irrigation of bladder was 3.5-5.0 days. The mean indewelling catheter time was 5-7 days, and there was no true urinary incontinence after operation. No patients died during operation and after operation. 18 cases occurred transuretbral resection syndrome during operation. The reoperation of 3 cases and 5 cases were performed respectively within 2 weeks to 3 months after operation and 1-8-year after operation. Conclusion TURP possesses less bleeding, quick recovery, and good efficacy etc advantages. It is a first choice for the treatment of BPH.