山西医科大学学报2013，Vol.44Issue(2)：148-150,3.DOI:10.3969/J.ISSN.1007-6611.2013.02.017
经尿道前列腺电切术治疗超高龄良性前列腺增生的安全性和有效性研究
Safety and effectiveness of transurethral resection of prostate for benign prostatic hyperplasia in super-aged patients
滕东海 1黄贵闽 1敖敏 1杜友怀 1杜丹 1李伟 1王开翔 1杜建平1
作者信息
摘要
Abstract
Objective To investigate the safety and effectiveness of transurethral resection of prostate(TURP) for benign prostatic hyperplasia (BPH) in super-aged patients. Methods TURP was applied to 134 super-aged ( ≥80 years old) and high risk patients with BPH. Patients were followed up for 6-60 months,and the preoperative and postoperative indices were compared. Results The mean weight of resected prostatic tissue was (42 ±20) g (18 - 90 g) , the operative time of 134 cases averaged (94 ± 51) min ( 40 -150 min) ,blood loss was (240 ± 164)ml (70 -420 ml) ,the postoperative hospital stay averaged 8.3 d (5 -10 d) ,and no transurethral resection syndrome(TURS) occurred. The average follow-up time was 37 months. International prostate symptom score(IPSS) decreased from 26.5 ±5.0 to 9.0±4.5 ,the score of quality of life (QOL) decreased from 5. 1 ±0. 9 to 2. 4 ±0. 6, the maximun flow rate (Qmax) increased from 2.7 ml/s (0 -8 ml/s) to 14 ml/s (9 -22 ml/s) ,and the residual urine volume(RUV) decreased form 176 ml (65 - 500 ml) to 52ml (20-70 ml). There was significant difference in all the indices before and after surgery ( P ＜ 0. 05 ). Conclusion TURP is safe and effective in the treatment of BPH in super-aged patients.关键词
经尿道前列腺电切术/良性前列腺增生/安全性/有效性Key words
transurethral resection of prostate/ benign prostatic hyperplasia/ safety/ effectiveness分类
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滕东海,黄贵闽,敖敏,杜友怀,杜丹,李伟,王开翔,杜建平..经尿道前列腺电切术治疗超高龄良性前列腺增生的安全性和有效性研究[J].山西医科大学学报,2013,44(2):148-150,3.
