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经尿道前列腺电汽化术治疗前列腺增生症138例报告
引用本文:梁庆祖,黄勇平,黄键,黄群.经尿道前列腺电汽化术治疗前列腺增生症138例报告[J].右江民族医学院学报,2001,23(2):174-175.
作者姓名:梁庆祖  黄勇平  黄键  黄群
作者单位:右江民族医学院附属医院泌尿外科,广西 百色 533000
摘    要:为探讨治疗前列腺增生 (BenignProstaticHyertroph ,BPH)的新方法 ,经尿道前列腺电汽化术 (TVRP)治疗BPH138例。结果显示 :术后排尿梗阻症状消失 ,随访 1~ 18个月 ,残余尿由术前 138.2± 45 .7ml降至 16 .0± 2 .6ml,IPSS由术前2 6 .6± 1.4分降至 9.7± 1.5分 ,QOL由术前 5 .4± 0 .5分降至 2 .0± 0 .4分 ,最大尿流率由术前 10 .8± 2 .1ml/s增至 2 0 .5± 2 .4ml/s。认为TVRP是治疗BPH的有效、安全且并发症少的新方法。如术前作膀胱造瘘、缩短手术时间、避免包膜穿孔等可使全身情况较差者手术成功

关 键 词:前列腺肥大  外科手术  电汽化术
文章编号:1001-5817(2001)02-0174-03
修稿时间:2000年12月7日

Transurethral electrovaporization of the prostate in the treatment of benign prostatic hypertrophy
LIANG Qing-zu,HUANG Yong-ping,HUANG Jian,HUANG Qun.Transurethral electrovaporization of the prostate in the treatment of benign prostatic hypertrophy[J].Journal of Youjiang Medical College For Nationalities,2001,23(2):174-175.
Authors:LIANG Qing-zu  HUANG Yong-ping  HUANG Jian  HUANG Qun
Abstract:In order to investigate new methods for the treatment of benign prostatic hypertrophy (BPH), 138 patients with BPH received transurethral electrovaporization of the prostate. Results showed that the emiction obstruction disappeared. In the follow-up from 1 to 18 months it was noted that the residual urine decreased from 138.2±45.7ml to 16.0±2.6ml, IPSS decreased from 26.6±1.4 by 9.7±1.5, QOL decreased from 5.4±0.5 to 2.0±0.4, and the maximal uroflow ratio increased from 10.8±2.1ml/s to 20.5±2.4ml/s. This report suggests that TVRP is an effective and safe new therapy with less complication for the treatment of BPH. A fistulation for bladder before operation, the shortened operative time and the avoidance of capsular perforation can result in a successful operation for patients in poor condition.
Keywords:prostatic hypertrophy  surgery  operative  electrovaporization
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