腔内手术治疗高危前列腺增生的临床研究

The clinical research of endoscopic operation to treat BPH in aged and seriously ill patients

目的探讨解除高危前列腺增生(BPH)患者膀胱出口梗阻(BOO)症状安全有效的手术方法。方法采用经尿道前列腺气化电切上通道成形术。经尿道前列腺气化电切下通道成形术治疗BPH患者30例。结果本组手术时间短,平均40min,术中出血不多,无死亡病例,近期排尿通畅。结论经尿道前列腺气化电切上,下通道成形术是解除高危BPH患者BOO症状的一种腔内手术方法,其手术操作简易,微创,安全有效。

Purpose:To investigat a safe and efficacious operative procedure to relieve the symptom of bladder outlet obstruction(BOO)due to benign prostatic hyperplasia(BPH)in aged and seriously ill patients.Methods:From August 1999 to July 2003,30 patients who had BOO due to BPH were treated with Up passage or Down passage Transurethral Electrovaporization of the Prostate(TUVP).Results:The mean age was 78.2 years(range70 to 92)for the operation group.The operative duration was short and the averags was for 40 min.The patients bleed little during the operation.There was no dead case.Conclusion:The endoscopic operation to relieve the symptom of BOO due to BPH in aged and seriously ill patients such as Up- passage or Downpassage TUVP is minimal incasion,safety and efficacy.