TUVP治疗前列腺增生症远期疗效评价(附312例报告)

目的 探讨经尿道前列腺电气化切除术(TUVP)治疗前列腺增生症(BPH)的有效性、安全性和远期效果。方法 312例BPH患者进行TUVP手术。术前以及术后3﹑6﹑12﹑24 m分别进行IPSS﹑QOL评分﹑尿流动力学﹑剩余尿量测定。301例(96 .47%)随访资料完整。结果 术后24月IPSS评分从26.52减少至6.1 (P<0.05);QOL评分也从5.32下降至1 .47 (P<0.05);最大尿流率(Qmax)增加明显,从7.6ml/s增至18.3ml/s(P<0.05);平均尿流率(AFR)从3 .4ml/s增至9.89ml/s;排尿量(VV)较前亦有所增加(P>0.05),尤以排尿等待时间(DT) 缩短,从61s减少至5.2s,剩余尿量(RU)从98.3ml减少至13.4ml(P<0.01)。结论 TUVP是一种易于掌握、出血量少、安全性高的治疗BPH的手术方法,远期疗效肯定。

The long term effect of TUVP for treatment of BPH (report of 312 cases)

Objective To evaluate the effectiveness ,safety and long-term consequence on TUVP . Methods312 BPH cases underwent TUVP. Assessments including IPSS, QOL, urodynamics and residul urine both beforeoperation and 3 months,6 months, 12 months and 24 months after operation had been performed. The data of 301cases are complete . Results 24 months after operation, IPSS reduces from 26.52 to 6.1 (P <0.05); QOL decreasesfrom 5.32 to 1.47(P<0.05); Maximum flow rate (Qmax) apparently increases from 7.6ml/s to 18.3ml/s (P <0.05);Average flow rate (AFR) adds from 3.42ml/s to 9.89 ml/s. Comparing to preoperative result the voiding volume (VV)increases(P>0.05), especially the delay time decreases from 61s to 5.2s, the residul urine reduces from 98.3 ml to13.4 ml (P <0.01). Conclusion TUVP is easy to operate with little bleeding and high safety for the treatment ofBPH. The long term effectiveness is good.