目的 探讨普通电切镜行前列腺腔内剜除术(TUERP)手术方法和临床效果.方法 采用TUERP治疗前列腺增生(BPH)69例.结果 手术时间38～125 min,平均55 min,术后国际前列腺症状评分(IPSS)由术前(26.6±3.4)分降至(6.1±3.2),剩余尿(PVR) 由术前(101.0±40.3)ml分降至(10.8±5.6)ml,最大尿流率(Qmax)由术前(6.8±2.5) ml·s-1上升至(22.5±2.9) ml·s-1,5例出现短期尿频、尿急,2例出现暂时性尿失禁.结论 TUERP是治疗BPH安全性高、并发症少、疗效确切的手术方法%Objective To investigate the surgical method and clinical effect of transurethral enucleation and resection of the prostate ( TUERP ). Methods TUERP was used in treatment of benign prostatic hyperplasia in 69 cases. Results The operation time was 38 ~ 125 min, average 55 min. International Prostate Symptom Score ( IPSS ) decreased from preoperative ( 26. 6 ± 3. 4 ) points down to ( 6. 1 ±3. 2 ) points, Residual urine output decreased by preoperative ( 101.0 ±40.3 )ml down to ( 10. 8 ±5. 6 )ml,while the maximum urinary flow rate increased by preoperative ( 6. 8 ± 2. 5 ) ml · S -1 up to(22.5±2.9)ml · S-1. There were 5 cases of urinary urgency, 2 cases of transient urinary incontinence. Conclusion TUERP is the surgical method with high safety, fewer complications, and definite effect.
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