窥镜下激光治疗前列腺增生症

目的 评价经尿道激光前列腺切除术（ＴＵＬＰ）的疗效及其与前列腺大小的关系。方法 回顾分析了１９８８年至１９９８年１０年,采用ＴＵＬＰ治疗的４６９例前列腺增生症患者对手术技术、手术前后的症关改善情况进行比较,并对２３３例符合条件的患者ＴＵＬＰ手术效果与前列腺大小的相关性进行了研究。结果 ４６９例患者前列腺症状评分（ＩＰＳＳ）平均值由术前的２６．７降到术后的１４．２;最大尿流率平均值由６．２ｍｌ／ｓ上

Treatment of benign prostatic hyperplasia with laser through the endoscope

Objective To evaluate the effect of transurethral laser prostatectomy (TULP) and its relation with the size of prostate. Methods 469 benign prostatepathes receiving TULP from 1988 to 1998 were reviewed retrospectively,and the methods of operation and preoperative and postoperative symptom were compared. The effect of 233 patients undergoing TULP was compared with the size of the prostate. Results The average value for IPSS of 469 patients decreased from 267 (preoperation) to 142 (postoperation). The mean value of maximum uroflow rate increased from 62 ml/s (preoperation) to 118 ml/s (postoperation). No difference was seen in postoperative effect between the transurethral contact and noncontact laser prostatectomy. If the estimating weight of prostate exceeded 50 g, the maximum flow rate after 3 years was decreased evidently, the value oAuthor f IPSS increased to over 20. HZConclusions If the estimating weight of prostate is less than 50 g, TULP is indicated.