中国性科学
中國性科學
중국성과학
THE CHINESE JOURNAL OF HUMAN SEXUALITY
2014年
8期
11-13
,共3页
於佶%张晓波%罗成斌%刘小平
於佶%張曉波%囉成斌%劉小平
어길%장효파%라성빈%류소평
良性前列腺增生%经尿道前列腺剜除术%经尿道前列腺电切术
良性前列腺增生%經尿道前列腺剜除術%經尿道前列腺電切術
량성전렬선증생%경뇨도전렬선완제술%경뇨도전렬선전절술
Benign prostatic hyperplasia%Transurethral enucleation of the prostate%Transurethral resection of the prostate
目的：探讨普通电切镜经尿道前列腺剜除术对于良性前列腺增生（BPH ）的治疗效果。方法：回顾性分析我院门急诊2008年1月至2012年12月采用普通电切镜下前列腺剜除术治疗BPH患者126例。分别比较术前术后国际前列腺症状评分、生活质量指数、最大尿流率、残余尿量情况。结果：手术时间45～120min，平均60min，术后3～5d拔除导尿管，术后国际前列腺症状评分由术前（26.6±3.2）分降至（6.8±3.2）分，生活质量指数评分由术前（5.17±0.69）分降至（1.88±0.49）分，最大尿流率由术前（6.6±2.6）mL/s上升至（18.8±2.8）mL/s，残余尿量由术前（110.8±48.2）mL降至（20.6±12.8）mL。术后10例出现短期尿频、尿急，5例出现暂时性尿失禁。结论：普通电切镜经尿道前列腺剜除术对BPH具有理想治疗效果，而且具有出血少，术后恢复时间短、术后症状解除明显，不易复发等优势，是治疗BPH的安全、有效、较为理想的方法。
目的：探討普通電切鏡經尿道前列腺剜除術對于良性前列腺增生（BPH ）的治療效果。方法：迴顧性分析我院門急診2008年1月至2012年12月採用普通電切鏡下前列腺剜除術治療BPH患者126例。分彆比較術前術後國際前列腺癥狀評分、生活質量指數、最大尿流率、殘餘尿量情況。結果：手術時間45～120min，平均60min，術後3～5d拔除導尿管，術後國際前列腺癥狀評分由術前（26.6±3.2）分降至（6.8±3.2）分，生活質量指數評分由術前（5.17±0.69）分降至（1.88±0.49）分，最大尿流率由術前（6.6±2.6）mL/s上升至（18.8±2.8）mL/s，殘餘尿量由術前（110.8±48.2）mL降至（20.6±12.8）mL。術後10例齣現短期尿頻、尿急，5例齣現暫時性尿失禁。結論：普通電切鏡經尿道前列腺剜除術對BPH具有理想治療效果，而且具有齣血少，術後恢複時間短、術後癥狀解除明顯，不易複髮等優勢，是治療BPH的安全、有效、較為理想的方法。
목적：탐토보통전절경경뇨도전렬선완제술대우량성전렬선증생（BPH ）적치료효과。방법：회고성분석아원문급진2008년1월지2012년12월채용보통전절경하전렬선완제술치료BPH환자126례。분별비교술전술후국제전렬선증상평분、생활질량지수、최대뇨류솔、잔여뇨량정황。결과：수술시간45～120min，평균60min，술후3～5d발제도뇨관，술후국제전렬선증상평분유술전（26.6±3.2）분강지（6.8±3.2）분，생활질량지수평분유술전（5.17±0.69）분강지（1.88±0.49）분，최대뇨류솔유술전（6.6±2.6）mL/s상승지（18.8±2.8）mL/s，잔여뇨량유술전（110.8±48.2）mL강지（20.6±12.8）mL。술후10례출현단기뇨빈、뇨급，5례출현잠시성뇨실금。결론：보통전절경경뇨도전렬선완제술대BPH구유이상치료효과，이차구유출혈소，술후회복시간단、술후증상해제명현，불역복발등우세，시치료BPH적안전、유효、교위이상적방법。
To investigate the therapeutic effect of conventional transurethral transurethral re-section of the prostate for benign prostatic hyperplasia (BPH).Methods:Retrospective analysis of the 126 BPH patients having received conventional transurethral endoscopic enucleation in the outpatient and emergency depart-ment of our hospital from January 2008 to December 2012 was conducted.The International Prostate Symptom Score,index of life quality,maximum flow rate and residual urine volume situation before and after the treatment were compared.Results:The operation time were 45 ~120min,averaging 60min.3 ~5d after removal of the catheter,the International Prostate Symptom Score decreased from (26.6 ±3.2)points to (6.8 ±3.2)points;index rating of life quality decreased from (5.17 ±0.69)points to (1.88 ±0.49)points;the maximum flow rate increased from (6.6 ±2.6)mL /s up to (18.8 ±2.8)mL /s;residual urine volume decreased from (110.8 ±48.2)mL to (20.6 ±12.8)mL.10 cases had postoperative short-term frequent micturition,urgency of uri-nation,and 5 patients had temporary incontinence.Conclusion:Conventional transurethral transurethral enuclea-tion of prostate has ideal effect in the treatment of BPH,with advantages such as less bleeding,short postoperative recovery time,significant relief of symptoms and uneasy to recrudesce.It is safe,effective,relatively ideal treat-ment methods for BPH.
