论文部分内容阅读
目的探讨经尿道前列腺汽化电切术(TUVP)治疗高危前列腺增生(BPH)的疗效和安全性。方法对126例平均年龄为75岁的高危BPH患者,采用TUVP治疗,观察治疗效果。结果126例手术时间45～120min;失血量100～300ml,无电切综合征发生和其他严重并发症,国际前列腺症状评分明显降低;生活质量评分由术前5.2±0.6分下降至术后2.4±0.5分;最大尿流率由术前6.3±3.0ml/s上升至术后14.2±5.3ml/s;残余尿量由术前88.8±13.4ml下降至术后17.2±14.8ml;手术前后比较,差异均有统计学意义(均P<0.01)。结论TUVP治疗高龄高危BPH安全、有效,并发症少。
Objective To investigate the efficacy and safety of transurethral vaporization of the prostate (TUVP) in the treatment of high-risk benign prostatic hyperplasia (BPH). Methods 126 cases of high-risk BPH patients with an average age of 75 years were treated with TUVP to observe the therapeutic effect. Results The operation time was 45 ~ 120min in 126 cases, the blood loss was 100 ~ 300ml, there was no incision-cut syndrome and other serious complications, and the score of international prostate symptom was significantly decreased. The quality of life score decreased from 5.2 ± 0.6 before operation to 2.4 ± 0.5; the maximal uroflow rate increased from 6.3 ± 3.0ml / s preoperatively to 14.2 ± 5.3ml / s postoperatively; the residual urine volume decreased from 88.8 ± 13.4ml preoperatively to 17.2 ± 14.8ml postoperatively; The difference was statistically significant (both P <0.01). Conclusion TUVP is safe and effective in treating elderly high-risk BPH with fewer complications.