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目的:探讨普通单极汽化电切镜在经尿道前列腺剜除术(TUERP)中的应用价值。方法:应用普通单极汽化电切镜行TUERP治疗良性前列腺增生(BPH)患者25例。对术中出血量、手术时间、术中并发症及术前术后国际前列腺症状评分(IPSS)、生活质量评分(QOL)、剩余尿量(PVR)、最大尿流率(Qmax)、并发症等进行观察分析。结果:25例手术均顺利。手术时间(65±30)min,术中出血(95±60)mL,术后3～5 d拔除尿管。术后无膀胱颈挛缩、尿道狭窄、再次出血,亦无真性尿失禁发生。15例患者术后3个月IPSS、QOL、PVR、Qmax与术前比较均有显著性差异(P<0.05)。结论:运用普通单极汽化电切镜行TUERP对于有经验的腔内泌尿外科医师而言是可行的,无需升级已有设备,可在合适的医疗单位推广应用。
Objective: To investigate the value of general unipolar vaporization resectoscope in transurethral resection of prostate (TUERP). Methods: 25 cases of benign prostatic hyperplasia (BPH) were treated with TUERP with common unilateral electrovaporotomy. The intraoperative blood loss, operation time, intraoperative complications and preoperative and postoperative International Prostate Symptom Score (IPSS), quality of life score (QOL), residual urine output (PVR), maximum flow rate (Qmax), complications Such as observation and analysis. Results: 25 cases were successful. The operation time (65 ± 30) min, intraoperative bleeding (95 ± 60) mL, 3 to 5 days after the removal of the catheter. No postoperative bladder neck contracture, urethral stricture, re-bleeding, no true urinary incontinence. The IPSS, QOL, PVR and Qmax of 15 patients at 3 months after operation were significantly different from those before operation (P <0.05). Conclusions: TUERP using a conventional unipolar vaporization endoscopy is feasible for experienced endovascular surgeons and can be deployed at the appropriate medical facility without having to upgrade existing equipment.