经尿道前列腺切开术在高危前列腺增生治疗中的应用

Transurethral incisional prostatotomy in the treatment of elderly and high-risk patients with benign prostatic hyperplasia

目的探讨经尿道前列腺切开术治疗高危前列腺增生的疗效及安全性。方法采用经尿道前列腺切开术治疗高危前列腺增生患者17例。结果 17例平均手术时间22 min,无一例输血,术中无经尿道电切综合征及穿孔等并发症出现,术后导尿管留置时间为4～5 d,拔管后16例排尿通畅,术后随访3～10个月,暂时性尿失禁3例,继发性出血1例。术后3个月时国际前列腺症状评分平均10.5分,生活质量指数评分平均2.6分,较术前明显改善。结论经尿道前列腺切开术是一种较为有效、安全治疗高危前列腺增生的手术方法。

Objective To evaluate the efficiency and safety of transurethral incisional prostatotomy in the treatment of elderly and high-risk patients with benign prostatic hyperplasia.Methods Seventeen elderly and high-risk patients with BPH were treated with transurethral incisional prostatotomy,and the clinical data was analyzed retrospectively.Results With a mean operative time of 22 minutes,among 17 patients there was no case of blood transfusion,no occurrence of transurethral resection syndrome and perforation complications.The postoperative catheterization time was 4-5 days,and there were 16 patients with voiding after extubation.The intraoperative follow-up lasted for 3-10 months,when 3 cases showed incontinence and 1 case secondary hemorrhage.Three months after operation,the international prostate symptom average score was 10.5 points,and the quality of life index score was 2.6 points,which were all improved significantly compared with the preoperative.Conclusion Transurethral incisional prostatetomy is a simple,effective and safe method to treat elderly and high-risk patients with benign prostatic hyperplasia.