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目的观察采取经尿道前列腺电气化治疗晚期前列腺肿瘤所致尿道梗阻的临床疗效。方法将该院2014年3月-2015年3月收治的48例晚期前列腺肿瘤所致尿道梗阻患者纳入本次研究,均采取经尿道前列腺电气化治疗。观察手术时间,比较治疗前后国际前列腺症状评分(IPSS)、残余尿量(RUV)、最大尿流率(Qmax)及生活质量(QOL)评分[5]。结果 48例患者均行一次手术成功,手术过程中出现血尿1例、暂时性尿失禁1例,采取相应的处理后,均有效缓解。手术时间为42~81(64.8±2.3)min。与治疗前相比,治疗后患者的IPSS、RUV、Qmax及QOL评分均有所改善,差异均有统计学意义(P<0.05)。随访半年,只有1例全身转移治疗无效病死,剩余47例均痊愈,痊愈率为97.92%。结论晚期前列腺肿瘤所致尿道梗阻采取经尿道前列腺电气化治疗效果显著,值得在临床中采纳及应用。
Objective To observe the clinical efficacy of transurethral electrovaporization of the prostate in the treatment of urethral obstruction caused by advanced prostate tumors. Methods A total of 48 patients with urethral obstruction caused by advanced prostate cancer who were admitted to our hospital from March 2014 to March 2015 were enrolled in this study. All of them were treated by transurethral electrovaporization of the prostate. The time of operation was observed. IPSS, RUV, Qmax and QOL were compared before and after treatment [5]. Results All the 48 patients underwent an operation successfully. One case of hematuria and one case of temporary urinary incontinence occurred during the operation. All the 48 cases were treated effectively and effectively. The operation time ranged from 42 to 81 (64.8 ± 2.3) min. Compared with before treatment, IPSS, RUV, Qmax and QOL scores of patients after treatment were improved, the differences were statistically significant (P <0.05). Follow-up for six months, only 1 case of systemic metastatic disease died of treatment, the remaining 47 cases were cured, the cure rate was 97.92%. Conclusions Transurethral electrovaporization of the urethra caused by advanced prostate tumors is effective and should be adopted and applied clinically.