经尿道前列腺电气化切除术治疗高危前列腺增生症

Trentment of Benign Prostate Hypertreophy in High Risk Patients by Transurethral Electrovaporization-ablation of Prostate

目的 探讨经尿道电气化切除术治疗高危前列腺增生症的疗效。方法 对 5 8例高危前列腺增生症患者经尿道前列腺电气化切除术的临床资料进行回顾分析。结果 平均手术时间 86min,平均失血量 98ml,平均切割前列腺组织重量 6 8.6 g,术后留置导尿管 3～ 5d ,无电切综合征发生。术后尿流率、剩余尿按国际前列腺症状评分、生活质量评分均明显改善。结论 前列腺增生症合并心、肺、肾疾病或高血压、糖尿病时 ,开放性手术危险性大 。

Objective To evaluate the treatment effects of benign prostate hypertrophy (BPH) in high risk patients by transurethral electrovaporization-ablation of prostate. Methods The clinick data of 58 BPH cases of hijh risk patients by transurethral electrovaporization-ablation of prostate were analysed retrospectively. Results The duration of the procedure was 86 min, the blood loss 98 ml, and the reseeted prosstate tissue 68.6 g. The postoperative eatheterization maintained to 3～5 d, and no patient experienced a TUR syndrone. On reevalnnation 3 months Urine, Flow Residual Urine, IPSS were obviously improved after opertion. Conclusion It is dangerous to do the general opertion on the BPH patients who suffer from the coplications of heart, lung, kindy disorders, as weel as hypertension, stroke, diabetes. So transurethral electrovaporization-ablation of prostate is the ideal choice for these patients.