中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2011年
32期
6-8
,共3页
单斗联%西尔艾力·牙生%屠民琦
單鬥聯%西爾艾力·牙生%屠民琦
단두련%서이애력·아생%도민기
膀胱造口术%前列腺增生%经尿道前列腺气化电切术
膀胱造口術%前列腺增生%經尿道前列腺氣化電切術
방광조구술%전렬선증생%경뇨도전렬선기화전절술
Cystostomy%Prostatic hyperplasia%Transurethral vapor resection of the prostate
目的 探讨膀胱穿刺造瘘联合经尿道前列腺气化电切术(TUVRP)治疗大体积良性前列腺增生(BPH)的疗效和可行性.方法 回顾性分析28例大体积BPH患者的临床资料,均采用膀胱穿刺造瘘联合TUVRP治疗.结果 28例患者术后均排尿通畅,术后随访6个月,国际前列腺症状评分由术前的(24.2±4.8)分降至术后的(9.8±2.6)分;最大尿流率由术前的(6.2±2.1)ml/s上升至术后的(14.8±2.9)ml/s;剩余尿由术前的(108.0±37.1)ml降至术后的(20.2±7.6)ml.术前、术后比较差异均有统计学意义(P＜0.05).术后3例发生并发症,其中前列腺电切综合征2例,继发出血1例.结论 熟练掌握TUVRP技术,采用膀胱穿刺造瘘联合TUVRP治疗大体积BPH是一种疗效好、并发症少、相对安全的方法.
目的 探討膀胱穿刺造瘺聯閤經尿道前列腺氣化電切術(TUVRP)治療大體積良性前列腺增生(BPH)的療效和可行性.方法 迴顧性分析28例大體積BPH患者的臨床資料,均採用膀胱穿刺造瘺聯閤TUVRP治療.結果 28例患者術後均排尿通暢,術後隨訪6箇月,國際前列腺癥狀評分由術前的(24.2±4.8)分降至術後的(9.8±2.6)分;最大尿流率由術前的(6.2±2.1)ml/s上升至術後的(14.8±2.9)ml/s;剩餘尿由術前的(108.0±37.1)ml降至術後的(20.2±7.6)ml.術前、術後比較差異均有統計學意義(P＜0.05).術後3例髮生併髮癥,其中前列腺電切綜閤徵2例,繼髮齣血1例.結論 熟練掌握TUVRP技術,採用膀胱穿刺造瘺聯閤TUVRP治療大體積BPH是一種療效好、併髮癥少、相對安全的方法.
목적 탐토방광천자조루연합경뇨도전렬선기화전절술(TUVRP)치료대체적량성전렬선증생(BPH)적료효화가행성.방법 회고성분석28례대체적BPH환자적림상자료,균채용방광천자조루연합TUVRP치료.결과 28례환자술후균배뇨통창,술후수방6개월,국제전렬선증상평분유술전적(24.2±4.8)분강지술후적(9.8±2.6)분;최대뇨류솔유술전적(6.2±2.1)ml/s상승지술후적(14.8±2.9)ml/s;잉여뇨유술전적(108.0±37.1)ml강지술후적(20.2±7.6)ml.술전、술후비교차이균유통계학의의(P＜0.05).술후3례발생병발증,기중전렬선전절종합정2례,계발출혈1례.결론 숙련장악TUVRP기술,채용방광천자조루연합TUVRP치료대체적BPH시일충료효호、병발증소、상대안전적방법.
Objective To explore the efficacy and feasibility of suprapubic cystostomy combined with transurethral vapor resection of the prostate(TUVRP)for large benign prostatic hyperplasia(BPH).Method Twenty-eight cases with large BPH were treated with suprapubic cystostomy combined with TUVRP and the clinical data was analyzed retrospectively.Results After operation,all patients had normal urination,followed up for 6 months,the international prostatic symptom score was decreased from(24.2 ±4.8)scores to(9.8 ±2.6)scores,the maximal uroflow rate was increased from(6.2 ±2.1)ml/s to(14.8 ±2.9)ml/s,the residual urine was decreased from(108.0 ± 37.1)ml to(20.2 ± 7.6)ml,there was significant difference(P ＜ 0.05).Complications were found in 3 cases,2 cases were transurethral resection of prostate syndrome,I case was secondary bleeding.Conclusion Suprapubic cystostomy combined with TUVRP is a safe,less complication,effective and feasible method for large BPH with proficient skill.
