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目的:探讨经尿道前列腺电切术(TURP)治疗良性前列腺增生BPH的疗效及其并发症。方法:采用TURP治疗BPH患者144例,比较术前及术后3个月的最大尿流率Qmax、剩余尿量RUV、前列腺体积PV,国际前列腺症状评分IPSS及生活质量评分QOLS,并分析了术后并发症。结果:术后3个月与术前相比,RUV、PV、IPSS、QOLS明显减少,Qmax显著增加。主要并发症包括经尿道前列腺电切综合征TURS、尿道狭窄、膀胱颈狭窄。结论:采用TURP治疗BPH,疗效确切,安全性高,并发症较少。
Objective: To investigate the efficacy and complications of transurethral resection of prostate (TURP) in the treatment of benign prostatic hyperplasia (BPH). Methods: One hundred and fourteen patients with BPH were treated with TURP. The maximum flow rate Qmax, residual urine volume RUV, prostate volume PV, International Prostate Symptom Score IPSS and quality of life QOLS were compared between before and after 3 months. Postoperative complications. Results: The RUV, PV, IPSS and QOLS decreased significantly and Qmax increased significantly at 3 months after operation. The main complications include transurethral resection syndrome TURS, urethral stricture, bladder neck stenosis. Conclusion: The treatment of BPH with TURP has definite curative effect, high safety and few complications.