摘要
目的:探讨经尿道气化电切术治疗良性前列腺增生症(TURP)的安全性与有效性。方法:应用TURP技术,于2004年6月～2007年10月期间治疗良性前列腺增生症(BPH)患者124例。结果:本组手术时间(67.2±22.8)min,切除前列腺组织重(51.4±13.5)g,其中3例输红细胞悬液2～3单位,6例中转改开放手术,4例因前列腺体积过大和术中出血视野不清,2例术中发现腹腔大量灌注液积液,腹胀明显而改开放手术。术后随访3～39个月,12例术后排尿困难,9例经过尿道扩张治愈,3例需再次TURP,无术后永久性尿失禁,11例术后继发出血,3例经再次TURP治愈,余保守治疗痊愈。其余患者的排尿困难均得到满意改善。结论:TURP安全性较高,并发症少,术后排尿困难明显改善,是治疗BPH的一项理想的技术。
Objective： To study the efficacy and safety of transurethral prostatectomy （TURP）, for treat ment of benign prostate hyperplasia （BPH）. Methods： 124 patients of BPH were performed TURP from 2004 July to 2007 October. Results： In our group, mean operation time was （67. 2±22. 8） minutes,the mean resected weight of prostate was （51.4±13.5） g. Three patients received 2 to 3 unit blood transfusion. 6 patients were oblige to change open operation, 4 cases of them because of large prostate volumn and too much bleeding, and the other 2 cases because of large liquid in the abdomen. All patients were followed up 3 to 39 months, 12 patients had difficult of urination post operation, 9 patients were cured by dilation, 3 patients were cured by the second TURP and no incontinence. 11 patients had the second bleeding in urine, 3 patients were cured by TURP, the other were cured by medicine. All patients＇ dysuria were re solved after operation. Connlution： TURP is a safe and effective method for treatment of BPH.
出处
《新疆医科大学学报》
CAS
2008年第9期1251-1252,共2页
Journal of Xinjiang Medical University
