经尿道复合球囊扩裂前列腺术44例经验总结

Experience of composite transurethral balloon dilatation of prostate in the treatment of 44 patients with benign prostatic hyperplasia China

目的总结和探讨经尿道复合球囊扩裂术治疗前列腺增生症的临床效果和并发症处理。方法对44例前列腺增生症患者行复合球囊扩裂治疗的临床资料进行回顾分析。结果 44例中41例手术成功,成功率93.18%,并发症发生率4.5%,术后随访3个月～1年,残尿量及国际前列腺症状评分标准等各项指标与术前比较差异有统计学意义(P<0.05)。结论经尿道复合球囊扩裂治疗前列腺增生症具有创伤小、时间短、手术出血少、术后并发症少等优点。

Objective To explore the clinical effectiveness of composite transurethral balloon dilatation of prostate （TUDP） in the treatment of benign prostatic hyperplasia and management of complications. Methods The clinical data of 44 patients with benign prostatic hyperplasia who had TUDP were reviewed and analyzed. Results TUDP was successful in 41 patients with the success rate of 93. 18%. The incidence of complications was 4. 5%. The patients were followed up for 3 months to 1 year, the preoperative residual urine volume and IPSS standard indicators were significantly different from postoperative ones （P 〈 0. 05 ）. Conclusion TUDP has the advantages of minimal trauma, short time, little blood loss and rapid postoperative recovery.