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目的:探讨经尿道前列腺电切术(TURP)治疗低龄(50岁以下)男性因前列腺中叶增生引起膀胱出口梗阻(BOO)的可行性。方法:应用TURP治疗低龄前列腺中叶增生患者12例,对手术前后最大尿流率(Q_(max))、剩余尿量(PVR)、国际前列腺症状评分(IPSS)、男性勃起功能评分(IIEF-5)、精液量等指标进行统计学分析。结果:术后梗阻症状全部消失,4个月后IPSS评分、Q_(max)及PVR差异均有统计学意义(P<0.01),IIEF评分,精液量测定差异无统计学意义(P>0.05),无一例逆行射精。结论:TURP治疗低龄前列腺中叶增生所致BOO疗效明显、简单、安全,有临床意义。
Objective: To investigate the feasibility of transurethral resection of the prostate (TURP) in the treatment of bladder outlet obstruction (BOO) in young men under 50 years of age due to the proliferation of the middle of the prostate. Methods: TURP was used to treat 12 middle-aged patients with benign prostatic hyperplasia. Preoperative and postoperative maximum flow rate (Q max), residual urine volume (PVR), International Prostate Symptom Score (IPSS), Male Erectile Function Score (IIEF-5) ), Semen and other indicators for statistical analysis. Results: Obstructive symptoms disappeared completely after operation. There were significant differences in IPSS score, Q max and PVR after 4 months (P <0.01), but there was no significant difference between IIEF score and semen volume (P> 0.05) , No one retrograde ejaculation. Conclusion: TURP treatment of lower prostate benign prostatic hyperplasia caused by obvious effect of BOO, simple, safe and has clinical significance.