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经尿道前列腺电切术治疗大体积良性前列腺增生疗效分析

吴万青 魏来 汪朔

浙江医学Issue(5):407-408,411,3.
浙江医学Issue(5):407-408,411,3.

经尿道前列腺电切术治疗大体积良性前列腺增生疗效分析

Transurethral resection of prostate for treatment of massive benign prostatic hyperplasia

吴万青 1魏来 1汪朔2

作者信息

  • 1. 313300 安吉县中医医院泌尿外科
  • 2. 浙江大学医学院附属第一医院泌尿外科
  • 折叠

摘要

Abstract

Objective To evaluate the efficacy of transurethral resection of the prostate (TURP) for treatment of massive benign prostatic hyperplasia (BPH). Methods Forty- seven patients with obstructive massive BPH (>80g) were treated with TURP. Transfusion rate, resection time, time of indwel ing catheter, length of hospital stay, improvement in urinary flow rate (Qmax), international prostate symptom score (IPSS) and quality of life (QOL) were measured. Results Al cases were success-ful y operated. The mean operation time was (101±15) min. There was no transfusion in al patients. The catheter was indwel ed for 3 to 5 d postoperatively. Al patients were satisfied with voiding outcome, none had incontinence. The length of hospital stay ranged from 5 to 7 d postoperatively. Al cases were fol owed up for 3~42 months. Mean Qmax increased from (4.3±0.5) ml/s preoperatively to (17.2±1.5) ml/s postoperatively. IPSS decreased from 28.0±5.5 to 8.5±2.3 and QOL score decreased from 5.0±0.5 to 2.5±0.4, respectively (P<0.01). No hemorrhage occurred after the operation. Conclusion TURP for massive BPH is a safe, effective and minimal y invasive treatment method.

关键词

经尿道电切术/大体积/良性前列腺增生

Key words

TURP/Massive/Benign prostatic hyperplasia

引用本文复制引用

吴万青,魏来,汪朔..经尿道前列腺电切术治疗大体积良性前列腺增生疗效分析[J].浙江医学,2014,(5):407-408,411,3.

浙江医学

OACSTPCD

1006-2785

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