经尿道前列腺电切术治疗小体积前列腺增生17例

    Evaluation of the treatment of small volume benign prostatic hyperplasia with transurethral resection of the prostate: a report of 17 cases

    • 摘要: 目的:探讨经尿道前列腺电切术(transurethral resection of the prostate,TURP)治疗前列腺<30g前列腺增生(benign prostatic hyperplasia,BPH)患者的临床疗效。方法:对17例前列腺<30g的BPH患者,采用TURP,术后均行保留导尿,并止血、抗感染治疗。结果:手术顺利,无因出血较多而中止或中转手术,手术时间40~95min,无电切综合征发生。术后拔除导尿管1天国际前列腺症状评分(international prostate symptom score,IPSS)平均为13分。结论:对前列腺<30gBPH患者,术前应辨明下尿路症状原因,术中区别应对,术后疗效确切。

       

      Abstract: Objective: To evaluate the therapeutic efficacy of transurethral resection of the prostate(TURP) for the patients of benign prostatic hyperplasia(BPH) whose prostate weighing less than 30 g.Methods: Seventeen patients of BPH with the weight of prostate less than 30 g were received TURP and catheterization,hemostasis and anti-infection treatments after operation.Results: All of the operations were succeeded,no operation was interrupted or stopped due to the bleeding,the operation time was between 40-95 minutes,no transurethral resection related syndrome(TURS) happened in these patients who received TURP.The average score of international prostate symptom score(IPSS) of these patients was 13 one day after remove of catheterization.Conclusions: For the patients of BPH with the weight of prostate less than 30 g,the symptomatic reason of lower urinary tract should be explored before operation,and the operation methods should be selected according to patient's condition,thus the efficacy of operation would be reliable.

       

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