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TURP治疗大体积(>80g)前列腺增生(附246例分析) 被引量:4

Transurethral resection of large volume (〉 80g) benign prostatic hyperplasia(A report of 246 cases)
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摘要 目的 探讨TURP治疗大体积前列腺增生的安全性、有效性.方法 采用TURP治疗大体积前列腺增生患者246例.年龄61 -86岁,平均年龄76.3岁.前列腺重量80-267g,平均97g.结果 手术时间90-246min,平均135min.切除前列腺重量平均63.6g.术后平均留置管时间4.5d,术后平均住院时间5d.术后3个月随访,最大尿流率(Qmax)由术前平均6.3±1.6ml/S上升为16.1±5.0ml/S,国际前列腺症状评分(IPSS)由术前平均29.8±1.2分降至7.3±1.0分,剩余尿(RUV)由术前50-960mL降至10-40mL(P<0.01).结论 在熟练掌握TURP技术后,采用TURP治疗大体积前列腺增生是一种安全、并发症少、疗效好的微创方法. Objectives To evaluate the safety and efficacy on transurethral resection of large volume benign prostatic hyperplasia(BPH).Methods 246 cases of large volume BPH were treated by transurethral resection prostate(TURP).Whose age range from 61 to 86 years,(mean 76.3y),and prostate weight range from 80 to 267g,(mean 97g).Results The time of operation was 90 - 246 mins,(mean 135 mins).The mean weight of the resectied prostates was 63.6g.The mean catheterization time was 4.5 days and the mean postoperative hospital stay was 5 days.The maximum urine flow rate increased from (6.3 ± 1.6) mL/s to (16.1±5.0) mL/s and IPSS decreased from (29.8 ± 1.2)to(7.3 ± 1.0)at 3 months postoperative follow-up(P <0.01).Conclusions TURP is a safe,effective and feasible Minimally Invasive Surgical method for huge BPH with proficient skill.
作者 陈弋生 邹滨 梁朝朝 孔艰 陶凌松 李林 Chen Yisheng,Zou bin,Liang Chaozhao,et al. (Department of Urology, The Second People~ Hospital of WuHu; Institute of Urology, WuHu 241000, China)
出处 《国际泌尿系统杂志》 2014年第6期882-885,共4页 International Journal of Urology and Nephrology
基金 安徽省省卫生厅资助课题(编号09A070)
关键词 前列腺增生 经尿道前列腺切除术 Prostatic Hyperplasia Transurethral Resection of Protstate
作者简介 通讯作者:梁朝朝E—mail:liang_chaozhao@163.com
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