论文部分内容阅读
目的总结和探讨经尿道电切术治疗前列腺增生症的临床效果。方法对24例前列腺增生症患者实施前列腺电切术(TURP)治疗的临床资料进行回顾和分析。结果24例患者手术均成功,2例2个月后出现排尿变细,发现为尿道外口狭窄,经尿道扩张后好转,继发性出血1例、电切综合征(TURS)1例,经对症处理治愈。术后3个月评价最大尿流率(Qmax)、残余尿量及国际前列腺症状评分标准等各项指标与术前比较均差异有显著性(P<0.01)。结论经尿道前列腺电切术是一种并发症少、安全性高、疗效确切的手术方法;是解决高危BPH患者排尿困难。提高生存质量的理想方法之一。
Objective To summarize and discuss the clinical effect of transurethral resection of benign prostatic hyperplasia (BPH). Methods The clinical data of 24 patients with benign prostatic hyperplasia treated by prostatectomy (TURP) were retrospectively analyzed. Results Twenty-four patients were successful in surgery. Two cases of urinary incontinence were found after 2 months. The urethral stricture was found to be stenosed outside the urethra and improved after transurethral expansion. One case had secondary hemorrhage and one case had TURS. Symptomatic treatment cured. The indexes of Qmax, residual urine volume and international prostate symptom score at 3 months after operation were significantly different from those before operation (P <0.01). Conclusions Transurethral resection of prostate is a surgical method with less complications, high safety and curative effect. It is a solution to the dysuria in high-risk BPH patients. One of the ideal ways to improve the quality of life.