摘要
目的：探讨普通电切镜经尿道前列腺剜除术对于良性前列腺增生（BPH ）的治疗效果。方法：回顾性分析我院门急诊2008年1月至2012年12月采用普通电切镜下前列腺剜除术治疗BPH患者126例。分别比较术前术后国际前列腺症状评分、生活质量指数、最大尿流率、残余尿量情况。结果：手术时间45～120min，平均60min，术后3～5d拔除导尿管，术后国际前列腺症状评分由术前（26.6±3.2）分降至（6.8±3.2）分，生活质量指数评分由术前（5.17±0.69）分降至（1.88±0.49）分，最大尿流率由术前（6.6±2.6）mL/s上升至（18.8±2.8）mL/s，残余尿量由术前（110.8±48.2）mL降至（20.6±12.8）mL。术后10例出现短期尿频、尿急，5例出现暂时性尿失禁。结论：普通电切镜经尿道前列腺剜除术对BPH具有理想治疗效果，而且具有出血少，术后恢复时间短、术后症状解除明显，不易复发等优势，是治疗BPH的安全、有效、较为理想的方法。
To investigate the therapeutic effect of conventional transurethral transurethral re-section of the prostate for benign prostatic hyperplasia （BPH）.Methods：Retrospective analysis of the 126 BPH patients having received conventional transurethral endoscopic enucleation in the outpatient and emergency depart-ment of our hospital from January 2008 to December 2012 was conducted.The International Prostate Symptom Score,index of life quality,maximum flow rate and residual urine volume situation before and after the treatment were compared.Results：The operation time were 45 -120min,averaging 60min.3-5d after removal of the catheter,the International Prostate Symptom Score decreased from （26.6 ±3.2）points to （6.8 ±3.2）points;index rating of life quality decreased from （5.17 ±0.69）points to （1.88 ±0.49）points;the maximum flow rate increased from （6.6 ±2.6）mL /s up to （18.8 ±2.8）mL /s;residual urine volume decreased from （110.8 ±48.2）mL to （20.6 ±12.8）mL.10 cases had postoperative short-term frequent micturition,urgency of uri-nation,and 5 patients had temporary incontinence.Conclusion：Conventional transurethral transurethral enuclea-tion of prostate has ideal effect in the treatment of BPH,with advantages such as less bleeding,short postoperative recovery time,significant relief of symptoms and uneasy to recrudesce.It is safe,effective,relatively ideal treat-ment methods for BPH.
出处
《中国性科学》
2014年第8期11-13,共3页
Chinese Journal of Human Sexuality
关键词
良性前列腺增生
经尿道前列腺剜除术
经尿道前列腺电切术
Benign prostatic hyperplasia
Transurethral enucleation of the prostate
Transurethral resection of the prostate
