经尿道治疗小体积良性前列腺增生效果评价

AN EVALUATION OF TRANSURETHRAL RESECTION OF PROSTATE OF SMALL VOLUME FOR BPH

①目的 评价经尿道前列腺电切加膀胱颈内切开术 (TURP +TUIBN)治疗小体积良性前列腺增生(BPH)的效果。②方法 1 998年 1 1月～ 2 0 0 0年 1 2月 ,我科采用TURP +TUIBN治疗小体积良性前列腺增生病人 2 2例。③结果 手术时间 35～ 5 0min ,术后国际前列腺症状评分 (IPSS)由 (2 7.3± 5 .1 )分降至 (6 .1± 3.4 )分(t=1 6 .2 2 ,P <0 .0 5 ) ,最大尿流率 (MFR)由 (5 .9± 3.8)mL/s上升到 (2 0 .2± 4 .7)mL/s(t =1 1 .0 9,P <0 .0 5 ) ,残余尿 (RU)由 (1 2 0 .0± 5 4 .2 )mL降至 (2 7.2± 1 5 .8)mL(t′ =7.71 ,P <0 .0 5 )。④结论 TURP

Objective\ To evaluate the efficacy of TURP plus transurethral incision of bladder neck (TUIBN)in the treatment of BPH with small volume of the prostate. \ Methods\ From November 1998 to December 2000, 22 patients were treated with TURP plus TUIBN. The therapeutic efficacy was studied. \ Results\ The operation duration was 35-50 min. The maximum flow rate (MFR)elevated from(5.9±3.8 )mL/s to(20.2 ±4.7 )mL/s( t=11.09,P <0.05),IPSS dropped from 27.3 ±5.1 to 6.1 ± 3.4 ( t=16.22,P <0.05) and residual urine dropped from(120.0±54.2 )mL to ( 27.2±15.8 )mL ( t′=7.71,P < 0.05 ), respectively.\ Conclusion\ TURP plus TUIBN was proved to be a relatively optimal therapy for patients with BPH of small volume which caused the obstruction of the outlet of bladder neck.