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经尿道前列腺汽化加电切术治疗高危前列腺增生42例报告
引用本文:张东江,晏继银,许汉标,蔡华戈,阿秀梅.经尿道前列腺汽化加电切术治疗高危前列腺增生42例报告[J].中国内镜杂志,2004,10(9):23-24.
作者姓名:张东江  晏继银  许汉标  蔡华戈  阿秀梅
作者单位:广东省惠州市人民医院,泌尿外科,广东,惠州,516002
摘    要:目的 探讨治疗高危前列腺增生症的有效方法。方法 应用经尿道前列腺汽化加电切术治疗高危前列腺增生症患者42例,平均年龄72岁,伴有心、脑、肺、肾疾患及糖尿病等高危因素之一。结果 平均手术时间45min,术后IPSS评分、最大尿流率、残余尿、生活质量评分均较术前明显改善。结论 经尿道前列腺汽化加电切术,兼具二者的优势,互补不足,能在较短时间去除适量的前列腺组织,解除梗阻,效果满意。

关 键 词:前列腺增生症  经尿道前列腺汽化术  经尿道前列腺电切术
文章编号:1007-1989(2004)09-0023-02
修稿时间:2004年3月17日

Transuretharal vaporization and resection of the prostate in high risk patients with benign prostate hyperplasia (report of 42 cases)
ZHANG Dong-jiang,YAN Ji-yin,XU Han-biao,CAI Hua-ge,E Xiu-mei.Transuretharal vaporization and resection of the prostate in high risk patients with benign prostate hyperplasia (report of 42 cases)[J].China Journal of Endoscopy,2004,10(9):23-24.
Authors:ZHANG Dong-jiang  YAN Ji-yin  XU Han-biao  CAI Hua-ge  E Xiu-mei
Abstract:Objective: To explore a safe and effective way to treat benign prostate hyperplasia(BPH) in high risk patients. Methods: 42 cases of BPH with moan age 72 years old and mean prostate weight 48 g, were treat combined transurethral vaporization and resection of prostate. Results: Mean operative time was 45 min. The operative procedures were successful in all case. The IPSS were decreased from 27.5 preoperatively to 9.6 postoperatively, PVR decreased from 125 ml to 18ml.Qmax increased from preoperatively 6.72 to 16.2 postoperatively. Conclusion: Combined transurethral vaporization and resection of prostate is a simple, effective and safe method to treat high risk patients with BPH.
Keywords:benign prostatc hyperplasia  transurethral vaporization of the prostate  transurethral eletro resection of the prostate
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