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经尿道前列腺部分切除治疗高危前列腺增生的疗效分析 被引量:2

Analysis on the High-risk PH Treated by Partial Transurethral Remove of Prostate
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摘要 目的:探讨经尿道前列腺部分切除对高危前列腺增生患者的治疗效果及安全性。方法:对54例高危良性前列腺增生患者采用经尿道前列腺部分切除术,对手术时间、术中出血、术后膀胱冲洗时间、手术并发症、术后I-PSS、最大尿流率(Qmax)等进行分析。结果:手术时间平均19.8min,术中出血量平均56.9ml,平均术后膀胱冲洗时间2.5d,I-PSS从术前28.4降至术后12.4,Qmax术前5.4ml/s增到16.9ml/s,无1例出现手术相关并发症。结论:经尿道前列腺部分切除治疗BPH有效,具有手术时间短,创伤小等优点,增加了高危患者对手术的耐受性。 Objective: To probe into the curative effect and safety of high - risk prostatic hyperplasia (PH) treated by partial transurethral remove of prostate. Method: A total of 54 cases of patients with high - risk benign prostatic hyperplasia (BPH) were treated by partial transurethral remove of prostate. And the operation time, hemorrhage during operation, bladder washing time after operation, complications, Ⅰ -PSS after operation and Qmax totally had been analyzed. Result: The average operation time was 19.8 mins, hemorrhage volumn was 56.9 ml during operation dropped from 28.4 before operation to 12.4 after and bladder washing time was 2.5 days and the Ⅰ - PSS operation. The Qmax increased from the 5.4 ml/s before operation to 16.9 ml/s after operation and no relative complications occurred. Conclusion: It is effective that the BPH was treated by partial trarisurethral remove of prostate, which is characterized with short operation time and less wound. All of these increase the tolerance of high - risk patient in operation.
出处 《河北医学》 CAS 2007年第5期552-553,共2页 Hebei Medicine
关键词 前列腺增生 高危 经尿道前列腺电切术 Prostatic hyperplasia High -risk Transurethral remove of prostate
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  • 1Walsh Retik Vaughan Wein.Campbell''s Urology, Seventh Edition[M].北京:科技出版社,.1479-1480.
  • 2张季伦 郭应禄 Hans J.Reuter(西德)主编.泌尿系内腔镜手术图谱[M].郑州:河南科技出版社,1989.6-7.

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