经尿道前列腺电切术治疗良性前列腺增生症262例的诊治体会

Experience of Diagnosis and Treatment of Transurethral Electrotomy in the Treatment of 262 Cases of Benign Prostatic Hyperplasia

目的探讨经尿道前列腺电切术治疗良性前列腺增生症的临床疗效。方法回顾分析262例良性前列腺增生症经尿道前列腺电切术治疗患者的临床资料,比较手术前后国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)和残余尿量(RUV),总结临床疗效,分析并发症发生原因及预防。结果 262例患者顺利完成手术,5例术后出现电切综合征,术后急迫性尿失禁18例;术后随访3个月,患者RUV、Qmax、QOL评分和IPSS评分与术前相比均有明显改善,差异有统计学意义(P<0.05)。结论经尿道前列腺电切术治疗良性前列腺增生症创伤小、恢复快,临床效果良好,值得临床推广应用。

Objective To study the clinical efficacy of transurethral electrotomy in the treatment of benign prostatic hyperplasia. Methods The clinical information of 262 cases of benign prostatic hyperplasia treated by transurethral electrotomy were retrospectively analyzed, the international prostate symptom score（IPSS）, quality of life（QOL）, maximum flow rate（Qmax） and residual urine volume（RUV） were compare before and after surgery, the clinical efficacy was summarized, and the causes and prevention of complications were analyzed. Results 262 patients successfully completed surgery, there were 5 cases of postoperative syndrome, 18 cases of urge urinary incontinence after operation;in the follow-up of 3 months after operation, RUV, IPSS and Qmax, QOL scores of patients improved more significantly compared with before operation, there was a statistically significant difference（P〈0.05）. Conclusion Transurethral electrotomy for treatment of benign prostatic hyperplasia has less trauma, faster recovery and better clinical effect,and it is worth spreading.