中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
9期
30-31
,共2页
经尿道前列腺电切除术%良性前列腺增生症%临床体会
經尿道前列腺電切除術%良性前列腺增生癥%臨床體會
경뇨도전렬선전절제술%량성전렬선증생증%림상체회
Transurethral resection of the prostate%Benign prostatic hyperplasia%Clinical experience
目的：深入研究经尿道前列腺点切除术治疗良性前列腺增生症的临床方法以及其疗效。方法回顾性分析在2010年4月-2012年4月期间在该院进行治疗的80例良性前列腺增生症患者，其中患者均不适宜进行开放性手术并伴有其他疾病，因此进行经尿道前列腺电切除术(TURP)，并对患者在手术的前后均进行国际前列腺症状评分(IPSS)，尿流率峰值(Qmax)以及生活质量评分(QOL)，并深入观察治疗效果。结果在80例患者中，6例患者发生TURS，3例患者并发暂时性尿失禁，1例患者并发尿路感染，2例患者尿路较为狭窄，1例患者并发尿道出血，其他的67例患者均无并发症出现。对于该组的80例患者进行1~2年随访，所有患者的各项观测指标明显好转，其临床症状也明显改善，效果良好。结论通过经尿道前列腺电切除术治疗良性前列腺增生症能够得到良好的疗效，并且治疗后并发症较少，安全性较高，住院时间较短，进一步提高患者的生活质量，值得在基层医院中推广这种治疗方式。
目的：深入研究經尿道前列腺點切除術治療良性前列腺增生癥的臨床方法以及其療效。方法迴顧性分析在2010年4月-2012年4月期間在該院進行治療的80例良性前列腺增生癥患者，其中患者均不適宜進行開放性手術併伴有其他疾病，因此進行經尿道前列腺電切除術(TURP)，併對患者在手術的前後均進行國際前列腺癥狀評分(IPSS)，尿流率峰值(Qmax)以及生活質量評分(QOL)，併深入觀察治療效果。結果在80例患者中，6例患者髮生TURS，3例患者併髮暫時性尿失禁，1例患者併髮尿路感染，2例患者尿路較為狹窄，1例患者併髮尿道齣血，其他的67例患者均無併髮癥齣現。對于該組的80例患者進行1~2年隨訪，所有患者的各項觀測指標明顯好轉，其臨床癥狀也明顯改善，效果良好。結論通過經尿道前列腺電切除術治療良性前列腺增生癥能夠得到良好的療效，併且治療後併髮癥較少，安全性較高，住院時間較短，進一步提高患者的生活質量，值得在基層醫院中推廣這種治療方式。
목적：심입연구경뇨도전렬선점절제술치료량성전렬선증생증적림상방법이급기료효。방법회고성분석재2010년4월-2012년4월기간재해원진행치료적80례량성전렬선증생증환자，기중환자균불괄의진행개방성수술병반유기타질병，인차진행경뇨도전렬선전절제술(TURP)，병대환자재수술적전후균진행국제전렬선증상평분(IPSS)，뇨류솔봉치(Qmax)이급생활질량평분(QOL)，병심입관찰치료효과。결과재80례환자중，6례환자발생TURS，3례환자병발잠시성뇨실금，1례환자병발뇨로감염，2례환자뇨로교위협착，1례환자병발뇨도출혈，기타적67례환자균무병발증출현。대우해조적80례환자진행1~2년수방，소유환자적각항관측지표명현호전，기림상증상야명현개선，효과량호。결론통과경뇨도전렬선전절제술치료량성전렬선증생증능구득도량호적료효，병차치료후병발증교소，안전성교고，주원시간교단，진일보제고환자적생활질량，치득재기층의원중추엄저충치료방식。
Objective To further study the clinical methods of transurethral resection of the prostate in the treatment of benign prostatic hyperplasia and its curative effect. Methods The clinical data of 80 cases of benign prostatic hyperplasia patients admitted in our hospital from April, 2010 to April, 2012 were analyzed retrospectively. All the patients underwent the transurethral resection of the prostate (TURP) because they were not suitable for open operation and accompanied by other diseases. The International Prostate Symptom Score (IPSS), peak urinary flow rate (Qmax) and life quality score (QOL) of the patients were evaluated before and after the treatment and the therapeutic effect was further observed. Results Of the 80 cases of patients, TURS occurred in 6 patients, 3 patients complicated with temporary incontinence, 1 case complicated with urinary tract infection, 2 cases of patients with narrow urinary tract, 1 case complicated with urethral bleeding, the other 67 cases had no complications. The 80 patients in this group were followed up for 1~2 years, all the observed indexes and clinical symptoms of the patients improved significantly with good results. Conclusion For the treatment of benign prostate hyperplasia, transurethral resection of the prostate is quite effective with fewer complications, higher security, shorter hospitalization, which can further improve the quality of life of the patients, and is worthy to be popularized in basic hospital.
