中国男科学杂志
中國男科學雜誌
중국남과학잡지
CHINESE JOURNAL OF ANDROLOGY
2009年
10期
54-56
,共3页
宁新荣%王毓斌%冯中文%侯东亚%郭进喜
寧新榮%王毓斌%馮中文%侯東亞%郭進喜
저신영%왕육빈%풍중문%후동아%곽진희
前列腺增生症%经尿道前列腺电切术%高龄高危%围手术期处理
前列腺增生癥%經尿道前列腺電切術%高齡高危%圍手術期處理
전렬선증생증%경뇨도전렬선전절술%고령고위%위수술기처리
benign prostatic hyperplasia(BPH)%transurethral resection of prostate (TURP)%senior high risk%periprocedural management
目的 探讨经尿道前列腺电切术(TURP)治疗高龄高危前列腺增生症(BPH)的安全性和有效性.方法 在积极进行个体化围手术期处理的基础上对216例高龄高危BPH患者行TURP术.结果 本组216例安全实施TURP,手术平均时间46 min,电切前列腺组织平均41 g.随访6~12个月,所有患者排尿通畅,无一例水中毒、永久性尿失禁及继发性出血.国际前列腺症状评分(IPSS)由30.5分降到7.8分,剩余尿(PVR)由156ml降至20ml,最大尿流率(Qmax)由8ml/s增至20ml/s,生活质量评分(QOL)由4.9分降到1.5分,治疗前后IPSS、PVR、Qmax、QOL改变有统计学意义.结论 只要加强个体化围手术期的处理,TURP仍是治疗高龄高危BPH安全有效的方法 .
目的 探討經尿道前列腺電切術(TURP)治療高齡高危前列腺增生癥(BPH)的安全性和有效性.方法 在積極進行箇體化圍手術期處理的基礎上對216例高齡高危BPH患者行TURP術.結果 本組216例安全實施TURP,手術平均時間46 min,電切前列腺組織平均41 g.隨訪6~12箇月,所有患者排尿通暢,無一例水中毒、永久性尿失禁及繼髮性齣血.國際前列腺癥狀評分(IPSS)由30.5分降到7.8分,剩餘尿(PVR)由156ml降至20ml,最大尿流率(Qmax)由8ml/s增至20ml/s,生活質量評分(QOL)由4.9分降到1.5分,治療前後IPSS、PVR、Qmax、QOL改變有統計學意義.結論 隻要加彊箇體化圍手術期的處理,TURP仍是治療高齡高危BPH安全有效的方法 .
목적 탐토경뇨도전렬선전절술(TURP)치료고령고위전렬선증생증(BPH)적안전성화유효성.방법 재적겁진행개체화위수술기처리적기출상대216례고령고위BPH환자행TURP술.결과 본조216례안전실시TURP,수술평균시간46 min,전절전렬선조직평균41 g.수방6~12개월,소유환자배뇨통창,무일례수중독、영구성뇨실금급계발성출혈.국제전렬선증상평분(IPSS)유30.5분강도7.8분,잉여뇨(PVR)유156ml강지20ml,최대뇨류솔(Qmax)유8ml/s증지20ml/s,생활질량평분(QOL)유4.9분강도1.5분,치료전후IPSS、PVR、Qmax、QOL개변유통계학의의.결론 지요가강개체화위수술기적처리,TURP잉시치료고령고위BPH안전유효적방법 .
Objective To evaluate the safety and efficiency of transurethral resection of prostate (TURP) on senior high risk benign prostatic hyperplasia(BPH) patients. Methods Based on individual periprocedural management, 216 senior high risk BPH patients received the treatment of TURP. Results For all 216 patients treated by TURP, average weight of resected tissue was 41 gram and average operative time was 46 minutes. After 6~12 months follow-up, all patients were found to have fluent urination but no overhydration, urinary incontinence and secondary hemorrhage. The International Prostate Symptom Score(IPSS) decreased from 30.5 to 7.8, prostate volume reduction(PVR) from 156 ml to 20 ml and Quality of Life(QOL) from 4.9 to 1.5, whereas maximum urinary flow-rate(Qmax) increased from 8ml/s to 20ml/s. There were significant difference in IPSS, QOL and PVR between preoperation and postoperation. Conclusion TURP was a safe and effective therapy for senile high risk benign prostate hyperplasia under strengthening individual periprocedural management.