经尿道微波照射加电切治疗前列腺增生症的探讨

SURVEY OF TRANSURETHRAL MICROWAVE RADIATION AND TURP ON THE TREATMENT OF BPH

本文报告了采用经尿道前列腺微波照射(TUMP)加电切(TURP)治疗20例前列腺增生症的体会。TUMP既有治疗前列腺增生之功效,又有止血之作用,使TURP安全、便利、易于掌握。TUMP +TURP具有出血少、手术时间短、术后病人恢复快,少有穿孔、冲洗液外渗及TURP综合症等优点。也为高龄、高危、不允许经膀胱前列腺摘除或TURP的前列腺增生患者提供了治疗的机会。

This paper presents our experiences in treating prostatic hyperplasia with transurethral micro-wave radiation of prostate (TUMP) and transurethral resection of prostate(TURP). TUMP has not onlycurative but also hemostatic effect. Furthermore, it makes TURP safer, easier to handle. Combinationof TUMP and TURP is recommended for less bleeding, shortened operating time, quicker postopera-tive recovery, rare perforation, no washing fluid extravasation, and no TURP syndrom. In addition,the operation give a favorable chance to those aged, high risky patients with prostatic hyperplasia forwhom transvesical prostatectomy or TURP is contraindicated.