国际泌尿系统杂志
國際泌尿繫統雜誌
국제비뇨계통잡지
INTERNATIONAL JOURNAL OF UROLOGY AND NEPHROLOGY
2014年
6期
882-885
,共4页
陈弋生%邹滨%梁朝朝%孔艰%陶凌松%李林
陳弋生%鄒濱%樑朝朝%孔艱%陶凌鬆%李林
진익생%추빈%량조조%공간%도릉송%리림
前列腺增生%经尿道前列腺切除术
前列腺增生%經尿道前列腺切除術
전렬선증생%경뇨도전렬선절제술
Prostatic Hyperplasia%Transurethral Resection of Protstate
目的 探讨TURP治疗大体积前列腺增生的安全性、有效性.方法 采用TURP治疗大体积前列腺增生患者246例.年龄61 ~ 86岁,平均年龄76.3岁.前列腺重量80 ~ 267g,平均97g.结果 手术时间90~ 246min,平均135min.切除前列腺重量平均63.6g.术后平均留置管时间4.5d,术后平均住院时间5d.术后3个月随访,最大尿流率(Qmax)由术前平均6.3±1.6ml/S上升为16.1±5.0ml/S,国际前列腺症状评分(IPSS)由术前平均29.8±1.2分降至7.3±1.0分,剩余尿(RUV)由术前50~ 960mL降至10~40mL(P<0.01).结论 在熟练掌握TURP技术后,采用TURP治疗大体积前列腺增生是一种安全、并发症少、疗效好的微创方法.
目的 探討TURP治療大體積前列腺增生的安全性、有效性.方法 採用TURP治療大體積前列腺增生患者246例.年齡61 ~ 86歲,平均年齡76.3歲.前列腺重量80 ~ 267g,平均97g.結果 手術時間90~ 246min,平均135min.切除前列腺重量平均63.6g.術後平均留置管時間4.5d,術後平均住院時間5d.術後3箇月隨訪,最大尿流率(Qmax)由術前平均6.3±1.6ml/S上升為16.1±5.0ml/S,國際前列腺癥狀評分(IPSS)由術前平均29.8±1.2分降至7.3±1.0分,剩餘尿(RUV)由術前50~ 960mL降至10~40mL(P<0.01).結論 在熟練掌握TURP技術後,採用TURP治療大體積前列腺增生是一種安全、併髮癥少、療效好的微創方法.
목적 탐토TURP치료대체적전렬선증생적안전성、유효성.방법 채용TURP치료대체적전렬선증생환자246례.년령61 ~ 86세,평균년령76.3세.전렬선중량80 ~ 267g,평균97g.결과 수술시간90~ 246min,평균135min.절제전렬선중량평균63.6g.술후평균류치관시간4.5d,술후평균주원시간5d.술후3개월수방,최대뇨류솔(Qmax)유술전평균6.3±1.6ml/S상승위16.1±5.0ml/S,국제전렬선증상평분(IPSS)유술전평균29.8±1.2분강지7.3±1.0분,잉여뇨(RUV)유술전50~ 960mL강지10~40mL(P<0.01).결론 재숙련장악TURP기술후,채용TURP치료대체적전렬선증생시일충안전、병발증소、료효호적미창방법.
Objectives To evaluate the safety and efficacy on transurethral resection of large volume benign prostatic hyperplasia(BPH).Methods 246 cases of large volume BPH were treated by transurethral resection prostate(TURP).Whose age range from 61 to 86 years,(mean 76.3y),and prostate weight range from 80 to 267g,(mean 97g).Results The time of operation was 90 ~ 246 mins,(mean 135 mins).The mean weight of the resectied prostates was 63.6g.The mean catheterization time was 4.5 days and the mean postoperative hospital stay was 5 days.The maximum urine flow rate increased from (6.3 ± 1.6) mL/s to (16.1±5.0) mL/s and IPSS decreased from (29.8 ± 1.2)to(7.3 ± 1.0)at 3 months postoperative follow-up(P <0.01).Conclusions TURP is a safe,effective and feasible Minimally Invasive Surgical method for huge BPH with proficient skill.