摘要
目的探讨经尿道前列腺腔内剜除术治疗低龄前列腺增生患者的临床疗效。方法前列腺增生症患者12例,年龄46～49岁,平均48.2岁。采用腔内剜除法逆行切除增生的中叶及两侧叶,保留前列腺前括约肌及前纤维肌肉区不受损伤。随访观察下尿路症状改善及性生活相关情况。结果 12例随访3～6个月,随访期间下尿路梗阻症状改善明显,国际前列腺症状评分(I-PSS)术前平均24±5.1,术后3个月时降至8.8±1.4;最大尿流率(Qmax)术前平均(8.1±4.2)ml/s,术后3个月时为(20.1±4.2)ml/s;术前12例均有膀胱残余尿(12～244ml),术后3个月仅4例有残余尿(<30ml)。所有患者术后勃起功能正常,术后1个月10例患者正常射精;另2例分别在术后3个月及5个月恢复正常射精。结论腔内剜除术不仅可以改善患者的排尿梗阻症状,也可以有效地避免损伤前列腺前括约肌,提高患者术后性生活质量。
Objiective To evaluate the therapeutic effect of transurethral enucleation of the prostate for treatment of benign prostatic hyperplasia in patients below 50 years of age. Methods Twelve patients with benign prostatic hyperplasia patients （mean age 48.2 years,range 46-49 years） underwent transurethral enucleation of the prostate. The middle lobe and two lateral lobes were enucleated with the preprostatic sphincter and anterior fibromuscular stroma prereserved during the operation. The patients were followed up to evaluate the lower urinary tract symptoms and sexual activity after the surgery. Results The 12 patients were followed up for 3 to 6 months. The symptoms of lower urinary tract obstruction were improved obviously after the surgery,and the International Prostate Symptom Score （IPSS） decreased from 24±5.1 to 8.8±1.4 and peak urine flow rate （Qmax） increased from 8.1±4.2 ml/s to 20.1±4.2 ml/s at 3 months postoperatively. All the 12 cases had residual urine （12-44 ml） preoperatively,but after the surgery,only 4 still had residual urine of less than 30 ml. All the patients had normal erection function postoperatively,and 10 had normal ejaculation; the other 2 patients recovered normal ejaculation 3 and 5 months after the operation,respectively. Conclusion Transurethral enucleation can alleviate the low urinary tract obstruction symptom and improve the sexual function by avoiding preprostatic sphincter injury in relatively young patients with benign prostatic hyperplasia.
出处
《南方医科大学学报》
CAS
CSCD
北大核心
2010年第12期2708-2710,共3页
Journal of Southern Medical University
基金
广东省医学科研基金(A2008422)
广东省自然科学基金(10151051501000114)
关键词
剜除术
经尿道切除术
逆行射精
良性前列腺增生
enucleation
transurethral resection
retrograde ejaculation
benign prostatic hyperplasia
