论文部分内容阅读
目的分析影响经尿道前列腺电切术(transurethral resection of the prostate,TURP)疗效的相关因素,总结提高基层医院TURP水平。方法 2002年12月—2010年6月,采用TURP治疗良性前列腺增生(benignrpostatic hyperplasis,BPH)患者336例。年龄58～85岁,平均69岁。术前B型超声测定前列腺体积23.3～148.5mL,平均48.5mL;国际前列腺症状评分(international prostate symptom score,IPSS)为(28.2±1.6)分。结果 336例患者手术效果满意,电切时间平均62min,术后输血15例;无因包膜穿孔或无法控制的出血需开放手术者;发生经尿道前列腺电切综合征先兆1例。术后245例门诊随访1～32个月,IPSS术后(7.2±0.5)分;术后继发尿道口狭窄6例,尿道悬垂部狭窄1例,膀胱颈狭窄4例。结论充分认识影响TURP疗效的因素,结合基层医院实际情况,规范TURP操作,提高TURP水平。
Objective To analyze the related factors affecting the efficacy of transurethral resection of the prostate (TURP), and to sum up the improvement of TURP in primary hospitals. Methods From December 2002 to June 2010, 336 patients with benign prostatic hyperplasia (BPH) were treated with TURP. Age 58 to 85 years, mean 69 years. Preoperative B-mode ultrasound measured prostate volume 23.3 ~ 148.5mL, an average of 48.5mL; International Prostate Symptom Score (IPSS) was (28.2 ± 1.6) points. Results A total of 336 patients achieved satisfactory results. The mean duration of resection was 62 min and the number of transfusions was 15 postoperatively. No perforation or uncontrolled bleeding was required for open surgery. One case of transurethral resection of prostate syndrome occurred. 245 outpatients were followed up for 1 to 32 months after operation, and (7.2 ± 0.5) points after IPSS. There were 6 cases of secondary urethral stenosis, 1 case of urethral overhang and 4 cases of bladder neck stenosis. Conclusion Fully understand the factors that affect the efficacy of TURP, combined with the actual situation of primary hospitals, standardize the TURP operation, improve the level of TURP.