国际泌尿系统杂志
國際泌尿繫統雜誌
국제비뇨계통잡지
INTERNATIONAL JOURNAL OF UROLOGY AND NEPHROLOGY
2013年
6期
766-769
,共4页
前列腺增生%前列腺炎%电外科手术
前列腺增生%前列腺炎%電外科手術
전렬선증생%전렬선염%전외과수술
Prostatic Hyperplasia%Prostatitis Electrosurgery
目的 观察应用前列腺汽化电切术(TUVP)联合围术期用药治疗良性前列腺增生症(BPH)合并慢性前列腺炎(CP)的临床疗效及安全性.方法 选取本院自2009年5月～2012年3月收治的85例BPH合并CP患者作为研究对象,所有患者均给予TVRP治疗,术前给予抗生素、受体阻滞剂,术后给予胆碱能受体阻滞剂,观察治疗效果及并发症情况.结果 (1)本组85例患者手术均获成功,手术平均时间(45.2±10.3) min,术中平均出血量(38.5±11.2)mL,切除前列腺组织净重平均(36.2±9.8)g.术后尿液转清时间为4 ～31h,平均(12.4±3.5)h.术后拔管平均时间为(2.3±0.8)d.对所有患者随访6～18个月,尿频、尿不尽等临床症状均明显减轻甚至消失,无复发病例.(2)85例患者治疗后较治疗前IPSS、QOL及MFR各项指标均明显改善,比较有显著差异(P＜0.01),具有统计学意义.(3)术后出现尿道出血2例,尿路感染1例,无膀胱痉挛、尿失禁、尿道狭窄病例.结论 应用前列腺汽化电切术(TUVP)联合围术期用药治疗良性前列腺增生症(BPH)合并慢性前列腺炎(CP)效果理想,且并发症少、术后恢复快,值得推广应用.
目的 觀察應用前列腺汽化電切術(TUVP)聯閤圍術期用藥治療良性前列腺增生癥(BPH)閤併慢性前列腺炎(CP)的臨床療效及安全性.方法 選取本院自2009年5月～2012年3月收治的85例BPH閤併CP患者作為研究對象,所有患者均給予TVRP治療,術前給予抗生素、受體阻滯劑,術後給予膽堿能受體阻滯劑,觀察治療效果及併髮癥情況.結果 (1)本組85例患者手術均穫成功,手術平均時間(45.2±10.3) min,術中平均齣血量(38.5±11.2)mL,切除前列腺組織淨重平均(36.2±9.8)g.術後尿液轉清時間為4 ～31h,平均(12.4±3.5)h.術後拔管平均時間為(2.3±0.8)d.對所有患者隨訪6～18箇月,尿頻、尿不儘等臨床癥狀均明顯減輕甚至消失,無複髮病例.(2)85例患者治療後較治療前IPSS、QOL及MFR各項指標均明顯改善,比較有顯著差異(P＜0.01),具有統計學意義.(3)術後齣現尿道齣血2例,尿路感染1例,無膀胱痙攣、尿失禁、尿道狹窄病例.結論 應用前列腺汽化電切術(TUVP)聯閤圍術期用藥治療良性前列腺增生癥(BPH)閤併慢性前列腺炎(CP)效果理想,且併髮癥少、術後恢複快,值得推廣應用.
목적 관찰응용전렬선기화전절술(TUVP)연합위술기용약치료량성전렬선증생증(BPH)합병만성전렬선염(CP)적림상료효급안전성.방법 선취본원자2009년5월～2012년3월수치적85례BPH합병CP환자작위연구대상,소유환자균급여TVRP치료,술전급여항생소、수체조체제,술후급여담감능수체조체제,관찰치료효과급병발증정황.결과 (1)본조85례환자수술균획성공,수술평균시간(45.2±10.3) min,술중평균출혈량(38.5±11.2)mL,절제전렬선조직정중평균(36.2±9.8)g.술후뇨액전청시간위4 ～31h,평균(12.4±3.5)h.술후발관평균시간위(2.3±0.8)d.대소유환자수방6～18개월,뇨빈、뇨불진등림상증상균명현감경심지소실,무복발병례.(2)85례환자치료후교치료전IPSS、QOL급MFR각항지표균명현개선,비교유현저차이(P＜0.01),구유통계학의의.(3)술후출현뇨도출혈2례,뇨로감염1례,무방광경련、뇨실금、뇨도협착병례.결론 응용전렬선기화전절술(TUVP)연합위술기용약치료량성전렬선증생증(BPH)합병만성전렬선염(CP)효과이상,차병발증소、술후회복쾌,치득추엄응용.
Objectives To observe the clinical effect and safety of TUVP combined with medication in perioperative period treating BPH combined with CP.Methods 85 patients with BPH combined with CP treated in our hospital from May 2009 to March 2012 were selected as the research objects.All the patients were given the treatment of TVRP,and were treated with antibiotic before operation and α1 receptor blocker before operation and were treated with cholinergic receptor blocker after operation.The treatment effect and complications of 2 groups were observed.Results (1) The operation of 85 patients were successful,the average operation time was (45.2 ± 10.3) min,the intraoperative bleeding amount was(38.5 ± 11.2) ml,and the average net weight of resection of prostate tissue was(36.2 ±9.8)g.Postoperative urine turned clear time was 431h,the average time was (12.4 ±3.5)h.The average canula extubated time was (2.3 ± 0.8) d.All the patients were followed up for 6 ～ 18 months.The clinical symptoms including frequent micturition and not finishing urination reduced significantly,even disappeared,and there was no recurrence of cases.(2) The index of IPSS,QOL and MFR of 85 patients after treatment improved evidently compared with that after treatment,the comparison had evident difference(P ＜ 0.01),which had statistical significance.(3) After operation,there were 2 cases with urethral bleeding and 1 case with urinary tract infection,and there was no case with cystospasm,uroclepsia and urethrostenosis.Conclusions Applying TUVP combined with medication in perioperative period to treat BPH combined with CP has ideal effect,less complications and rapid recovery after operation,which is worthy of promotion in clinical practice.
