中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2014年
2期
169-171
,共3页
前列腺增生%外科手术
前列腺增生%外科手術
전렬선증생%외과수술
Prostatic hyperplasia%Surgical procedure,operative
目的 探讨高龄患者前列腺增生手术的临床效果. 方法 选择2005年1月至2009年1月我院收治的前列腺增生高龄(≥80岁)患者60例,56例采用经尿道前列腺增生等离子电切术,4例采用耻骨上经膀胱前列腺增生体摘除术.对所有患者手术前后的国际前列腺症状评分(IPSS)、残余尿量和最大尿流量(Qmax)进行比较. 结果 60例手术均获得成功,术中无明显包膜穿孔,输尿管口及尿道括约肌损伤；IPSS评分、残余尿量和最大尿流率手术前分别为(20.3±3.7)分、(85.1±13.0)ml和(8.7±2.1) ml/s;手术后分别为(11.5±2.1)分、(37.7±7.9)ml和(14.9±3.2) ml/s;手术后的IPSS评分和残余尿量均少于手术前,最大尿流率Qmax大于手术前(t=16.02、24.14、12.55,均P＜0.05)；所有患者术后随访6～12个月,无尿失禁,无明显前列腺增生复发. 结论 高龄患者前列腺增生行经尿道前列腺增生等离子体电切术安全有效,复发率低,值得推广.
目的 探討高齡患者前列腺增生手術的臨床效果. 方法 選擇2005年1月至2009年1月我院收治的前列腺增生高齡(≥80歲)患者60例,56例採用經尿道前列腺增生等離子電切術,4例採用恥骨上經膀胱前列腺增生體摘除術.對所有患者手術前後的國際前列腺癥狀評分(IPSS)、殘餘尿量和最大尿流量(Qmax)進行比較. 結果 60例手術均穫得成功,術中無明顯包膜穿孔,輸尿管口及尿道括約肌損傷；IPSS評分、殘餘尿量和最大尿流率手術前分彆為(20.3±3.7)分、(85.1±13.0)ml和(8.7±2.1) ml/s;手術後分彆為(11.5±2.1)分、(37.7±7.9)ml和(14.9±3.2) ml/s;手術後的IPSS評分和殘餘尿量均少于手術前,最大尿流率Qmax大于手術前(t=16.02、24.14、12.55,均P＜0.05)；所有患者術後隨訪6～12箇月,無尿失禁,無明顯前列腺增生複髮. 結論 高齡患者前列腺增生行經尿道前列腺增生等離子體電切術安全有效,複髮率低,值得推廣.
목적 탐토고령환자전렬선증생수술적림상효과. 방법 선택2005년1월지2009년1월아원수치적전렬선증생고령(≥80세)환자60례,56례채용경뇨도전렬선증생등리자전절술,4례채용치골상경방광전렬선증생체적제술.대소유환자수술전후적국제전렬선증상평분(IPSS)、잔여뇨량화최대뇨류량(Qmax)진행비교. 결과 60례수술균획득성공,술중무명현포막천공,수뇨관구급뇨도괄약기손상；IPSS평분、잔여뇨량화최대뇨류솔수술전분별위(20.3±3.7)분、(85.1±13.0)ml화(8.7±2.1) ml/s;수술후분별위(11.5±2.1)분、(37.7±7.9)ml화(14.9±3.2) ml/s;수술후적IPSS평분화잔여뇨량균소우수술전,최대뇨류솔Qmax대우수술전(t=16.02、24.14、12.55,균P＜0.05)；소유환자술후수방6～12개월,무뇨실금,무명현전렬선증생복발. 결론 고령환자전렬선증생행경뇨도전렬선증생등리자체전절술안전유효,복발솔저,치득추엄.
Objective To investigate the clinical efficacy of surgery treatment of benign prostatic hyperplasia in elderly patients.Methods 60 elderly patients with prostatic hyperplasia aged 80 years and over were admitted in our hospital from January 2005 to January 2009.56 cases were treated with transurethral plasmakinetic resection of benign prostatic hyperplasia,and 4 cases were treated with suprapubic prostatic hyperplasia enucleation.IPSS score,residual urine volume and maximum urinary flow rate (Qmax) in all patients were compared between pre-and post-surgery.Results 60 cases of patients were operated successfully without significant intraoperative capsular perforation,ureteral orifice and urethral sphincter injury.IPSS scores and residualurine volume were significantly less after surgery than before surgery [(20.3 ± 3.7) vs.(11.5 ± 2.1),(85.1 ± 13.0) ml vs.(37.7±7.9) ml,t=16.02,24.14,both P＜0.05].The maximum flow rate Qmax was significantly higher after surgery than before surgery[(8.7 ± 2.1) ml/s vs.(14.9 ± 3.2) ml/s,t =12.55,P＜0.05].All patients were followed up for 6-12 months.No incontinence and recurrence of benign prostatic hyperplasia were found.Conclusions Transurethral plasmakinetic resection for treatment of benign prostatic hyperplasia is safe and effective in elderly patients,with a low recurrence rate,and is worthy of promoting.
