经尿道前列腺电切术治疗前列腺增生2130例临床分析.doc

精品论文 参考文献 经尿道前列腺电切术治疗前列腺增生2130例临床分析 万旭辉 赖建平 文小平 李兴斌 李健 甘道举 陈善勤 （ 四川省宜宾市第一人民医院泌尿外科 四川 宜宾64400） 【摘要】 目的 ： 探讨良性前列腺增生的经尿道前列腺电切术（TUR-P）的治疗方法。方法 ：分析我院1994年1月~2011年2月2130例良性前列腺增生的TURP治疗，分析其疗效以及术中术后并发症的发生率。结果 手术平均时间75分钟，出血量平均79ml；术中输血6.9%，尿道损伤0.18%，前列腺包膜穿孔2.9%，电切综合征3.3%；术后出血2.4%，膀胱穿孔0.4%，附睾炎1.5%，尿失禁0.23%，尿道狭窄2.6%，膀胱颈挛缩1.7%,深静脉血栓形成0.15%，死亡率0.28%。前列腺症状评分从术前(29.6plusmn;1.2)分降至术后3月的(5.2plusmn;1.1)分，最大尿流率从术前(6.1plusmn;1.3)m/s增加至术后3月的(17.2plusmn;4.5)m/s。结论 ： TUR-P疗效显著，并发症少，是良性前列腺增生安全有效的外科手术治疗方法。 【关键词 】经尿道前列腺电切术；良性前列腺增生；并发症 Analyze 2130 cases of benign prostatic hyperplasia using transurethral resection of prostate WAN Xu-hui , LAI Jian-ping ,WEN Xiao-ping ,LI Xing-bing ,LI Jian ,GAN Dao-ju ,CHEN Shan-qin （ Department of Urology ,the First Peoplersquo;s Hospital,Yinbin 644000,China） 【Abstract】 Objective To evaluate the transurethral resection of the prostate for the treatment Of benign prostatic hyperplasia.Methods In our hospital from January 1994 to February 2011 2130 cases of benign prostatic hyperplasia TUR-P treatment, analysis of its efficacy, and intraoperative and postoperative complication rate.Results The mean operative time was 75 minutes,and the average blood loss was 79ml.Intraoperative blood transfusion was needed in 6.9% ,urethral injury in 0.18%, capsule perforation in 2.9%, transurethral resection syndrome occurred 3.3%,postoperative bleeding in 2.4%, bladder perforation in 0.4%,epididymitis in 1.5%,urinary incontinence in 0.23%, urethral stricture in 2.6%, bladder neck contracture in 1.7%,deep vein thrombosis in 0.15%,mortality occurred 0.28%.Prostate symptom score improved from(29.6plusmn;1.2) points down to(5.2plusmn;1.1)points after 3 months, maximum urinary flow rate increased from(6.1plusmn;1.3)m/s preoperatively to(17.2plusmn;4.5)m/s after 3 months. Conclusions TUR-P efficacy was significantly less complications, is safe and effective for benign prost