摘要
为提高Ⅲ～Ⅳ度增生前列腺切除的成功率，对采用经尿道前列腺切除（TURP）治疗的125例前列腺增生患者疗效进行分析。分析结果：电切时间为40～165min，平均为101min；切除组织重量为10．1～80．5g，平均为34．7g，电切组织重量与电切时间呈正相关。电切组织重量与术前B超计算体积百分比均数为78．16％±1．24％，在切除Ⅲ～Ⅳ度增生腺体时亦能获得同样的高比率，各组均超过70％。术后有12．8％患者出现并发症，随访3～42个月，92％患者获得良好的生活质量。认为术中保持膀胱低压，监测血电解质变化，及时治疗低钠血症、止血，能提高Ⅲ～Ⅳ度增生腺体切除的成功率。
In order to improve successful rate of resection for benign prostatic hyperplasia with Ⅲ-Ⅳ degree,a retrospective analysis for transurethral resection of the prostate (TURP)curative effectiveness has been carried out in 125 patients with benign prostatic hyperplasia. The re-sults showed that the time of TURP was 40-165 minutes with an average time of 101 minutes.The weight of tissues resected was 10.1-80. 5 grams with an average weight of 34. 7 grams. The positive correlation between resection time and tissue weight was observed. The weight of tissues resected was 78. 16 % ±1. 24% of weight calculated according to Hultrasonography measurement before TURP. A satisfactory curative effect was also achieved in benign prorstatic hyperplasia with Ⅲ-Ⅳ degree. The complications occurred in 12. 8% patients after operation. After followed-up for 3 months-42 months, 92% patients had the high quality of life. It was considered that the vesical bladder keeping low pressure,blood electrolyte surveillance,treatment of hyponatruria and staunch during operation can improve successful rate of resection for benign prostatic hyperplasia with,Ⅲ-Ⅳ degree.
出处
《临床泌尿外科杂志》
1998年第6期246-249,共4页
Journal of Clinical Urology
关键词
前列腺增生
前列腺切除术
TURP
Benign prostatic hyperplasia Transurethral resection of prostate Operation time Staunch Electrolyte
