高危前列腺增生症经尿道电切术临床观察

Transurethral Resection of Prostate for the Treatment of BPH Patients at High Risk

目的:探讨TURP治疗高危BPH的安全性和有效性。方法:对30例高危BPH患者行TURP治疗,术后均随访,时间为3～10个月。结果:1例术后因多器官系统衰竭死亡。余术后恢复正常,排尿明显改善:TURP前后前列腺国际症状评分降低和最大尿流率增大,差异均有统计学意义(P<0.05)。结论:经尿道电切术治疗高危BPH损伤小,安全性高,疗效确切且并发症少,适用于高危前列腺患者。

Objective： To investigate the safety and efficacy of TURP therapy for patients with benign prostatic hyperplasia （BPH） at high risk. Method： Thirty patients with BPH at high risk underwent transurethral resection of prostate（TURP） and they were followed up for 3 -10 months after operation. Result： One patient died of multisystem and organ failure （ MSOF ）, the others resumed up after TURP. IPSS decreased significantly and MFR increased significantly compared before TURP （ P 〉 0.05 ）. Conclusion. TURP has advantages of minor invasion, safety, good efficacy and less complications and it fits for the treatment of high risk patients with BPH .