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目的:探讨经尿道电切术治疗231例高危重度BPH患者的安全性和疗效。方法:回顾性分析231例高危重度BPH患者的临床资料。结果:经个体化准备后,231例患者均能安全耐受手术,随访6个月,平均IPSS从26.7分降至6.3分,Q_(max)从6.5 ml/s升为16.6 ml/s,QOL由5.2分降为1.2分,剩余尿量由88.9 ml降为8.7 ml。结论:对高危重度BPH患者,只要加强围手术期的处理,且术者具备熟练的手术技巧,对高危重度BPH患者TURP是安全有效的治疗方法。
Objective: To investigate the safety and efficacy of transurethral resection of 231 patients with high-risk severe BPH. Methods: A retrospective analysis of 231 cases of high-risk severe BPH clinical data. Results: After individualized preparation, 231 patients were safely tolerated surgery. The average IPSS decreased from 26.7 to 6.3 and the Q max increased from 6.5 ml / s to 16.6 ml / s after 6 months of follow-up. QOL From 5.2 points to 1.2 points, the remaining urine output decreased from 88.9 ml to 8.7 ml. Conclusion: For patients with high-risk and severe BPH, as long as the perioperative management is strengthened and the surgeon has skilled surgical skills, it is a safe and effective treatment for TURP in high-risk severe BPH patients.