保列治+经尿道前列腺切除治疗高危前列腺增生69例疗效分析

Clinical analysis on the high-risk BPH treated by partial transurethral remove of prostate and oral finasteride (69 cases)

目的探讨保列治+经尿道前列腺切除术对高危前列腺增生患者的疗效及安全性。方法69例高危良性前列腺增生患者采用保列治+经尿道前列腺切除术,对手术时间、术中出血、术后膀胱冲洗时间、手术并发症、术后国际前列腺症状评分(I-PSS)、最大尿流率(Qmax)等进行分析。结果手术时间平均31.8min,平均术后膀胱冲洗时间3d,I-PSS从术前(31.4±4.3)分降至术后(12.7±1.2)分,Qmax由术前(5.3±1.3)mL/s增到(19.1±2.5)mL/s,无手术并发症。结论经尿道前列腺切除治疗BPH有效,具有手术时间短,创伤小等优点,增加了高危患者对手术的耐受性。

[Objective] To investigate the curative effect and safety of high-risk benign prostate hyperplasia （BPH） treated by partial transurethral remove of prostate and oral finasteride. [ Methods ] A total of 69 cases of patients with high-risk BPH were treated by partial transurethral remove of prostate after oral finasteride for 3 months. The operation time, hemorrhage during operation, bladder washing time after operation, complications, I-PSS after operation and Qmax totally had been analyzed.[Results] The average operation time was 31.8 mins, hemorrhage volumn was 56.9 ml during operation and bladder washing time was 3 days and the I-PSS dropped from （31.4±4.3） before operation to （12.7±1.2） after operation. The Qmax increased from the （5.3±1.3） ml/s before operation to （19.1± 2.5）mL/s after operation and no relative complications occurred. [Conclusion] It is effective that the BPH was treated by partial transurethral remove of prostate and oral finasteride, which is characterized with short operation time and less wound.