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为探讨高危前列腺增生症(BPH)患者的治疗方法,采用通道法TURP治疗高危BPH患者20例,术中平整切除梗阻的前列腺组织,形成排尿通道;对估计需切除较多腺体组织才能解除梗阻者,预先在前列腺中血好发部位注射组织凝固剂,以减少出血。结果术后排尿通畅,随访6~12个月,国际前列腺症状评分由术前30.5±3.1分降为8.3±2.8分,生活质量评分由术前4.5±0.9分降为1.5±0.8分。认为本法安全有效,是治疗高危BPH的治疗措施。
To explore the treatment of high-risk benign prostatic hyperplasia (BPH) patients, 20 cases of high-risk BPH patients were treated with TURP of channel method, and the obstructed prostate tissue was flattened during operation to form the urinary channel. It is estimated that more glands should be excised to relieve the obstruction Pre-injection of tissue coagulation agent in the prostate of the blood in order to reduce bleeding. Results Postoperative urination was unobstructed. The follow-up ranged from 6 to 12 months. The International Prostate Symptom Score decreased from 30.5 ± 3.1 to 8.3 ± 2.8 points, and the quality of life score from 4.5 ± 0 .9 points to 1.5 ± 0.8 points. This law is safe and effective, is the treatment of high-risk BPH treatment.