经尿道气化结合电切术治疗高危前列腺增生107例报告

The use of TVP and TURP for the surgical treatment of benign prostatic hyperplasia in high risk patients

目的 探讨高危前列腺增生症 (BPH)患者的有效手术方法。方法 采用经尿道前列腺气化术(TVP)结合电切术 (TURP)治疗高危 BPH患者 10 7例。结果 平均手术时间 5 6 m in,平均失血量 90 ml,均未输血 ,无 TURS发生。 89例术后随访 3个月至 2年 ,国际前列腺症状评分 (IPSS) ,由术前 2 6 .8± 5 .9分术后降至 8.7± 4 .3分 (P<0 .0 0 1)。最大尿流率 (Qmax)由术前 5 .0± 4 .2 ml/ s,术后升至 16 .2± 4 .5 m l/ s (P<0 .0 0 1)。剩余尿量(PUR)由术前 137.6± 5 4 .9ml术后降至 2 1.8± 16 .1ml(P<0 .0 0 1)。结论 TVP结合 TURP安全性高、并发症少、效果确切 ,只要处理方法得当 ,适合高危

Objective To evaluate the effective operative methods of benign prostatic hyperplasia in high risk patients.Methods 107 patients with symptomatic BPH treated by TVP combining with TURP were enrolled in this study.Results The duration of the procedure was 56min,the blood loss 90ml.None reqnired transfusion and no transurethral resection syndrome occurred.89 patients have been followed up for 3 months to 2 years.IPSS decreased from 26 8±5 9 to 8 7±4 3(P<0 001) and Qmax increased from 5 0±4 2ml/s to 16 2±4 5ml/s(P<0 001) and PUR decreased from 137 6±54 9ml to 21 8±16 1ml(P<0 001).Conclusions The result showed that TVP combining with TURP is an effective and safe methods.so TVP combining with TURP is the idea choice for the high risk patients.