论文部分内容阅读
目的探讨合并糖尿病的良性前列腺增生症(BPH)患者经尿道前列腺电切术(TURP)治疗,该类患者的围手术期处理方案。方法1999年1月至2007年4月,共收治此类患者122例,均接受TURP治疗及围手术期适当处理,术前及术后6个月时行IPSS评分、尿流动力学检查。结果患者病情恢复良好,IPSS评分由术前22.4分降至12.6分,最大尿流率由术前7.5ml/S上升至16.3ml/S,最大尿流率时逼尿肌压由75.9 cmH_2O下降至39.5cmH_2O,1例严重膀胱逼尿肌收缩乏力的患者,排尿困难改善不明显,需辅助以自我间断导尿。结论经充分的围手术期处理后,合并糖尿病的BPH患者可接受TURP治疗并获得良好疗效。
Objective To investigate the perioperative management of transurethral resection of the prostate (TURP) in patients with benign prostatic hyperplasia (BPH) complicated with diabetes mellitus. Methods From January 1999 to April 2007, a total of 122 patients were enrolled in this study. All patients underwent TURP and perioperative management. IPSS and urodynamics were performed before and 6 months after operation. Results The patient recovered well. The IPSS score decreased from 22.4 points to 12.6 points preoperatively. The maximum uroflow rate increased from 7.5ml / S to 16.3ml / S preoperatively. The detrusor pressure decreased from 75.9 cmH2O to 39.5cmH_2O, one case of severe detrusor contraction in patients with bladder dysplasia, dyspnea was not improved obviously, need to assist in intermittent catheterization. Conclusion After adequate perioperative management, BPH patients with diabetes mellitus can receive TURP and receive good results.