高龄前列腺增生患者的手术治疗
发布时间：2018-09-08 13:08
【摘要】：目的 探讨高龄患者前列腺增生手术的临床效果。 方法 选择2005年1月至2009年1月于我院收治的前列腺增生高龄(大于80岁)患者60例,56例采用经尿道前列腺增生等离子电切术,4例采用耻骨上经膀胱前列腺增生体摘除术。对所有患者手术前后的IPSS评分、残余尿量和最大尿流量(Qmax)进行比较。 结果 60例手术均获得成功,术中无明显包膜穿孔,输尿管口及尿道括约肌损伤；IPSS评分、残余尿量和最大尿流率手术前分别为(20。3±3.7)分、(85.11±13.0)ml和(8.7±2.1)ml／s；手术后分别为(11.5±2.1)分、(3.7.7±7.9)ml和(14.9±3.2)ml／s；手术后的IPSS评分和残余尿量均少于手术前,最大尿流率Qmax大于手术前(t=16.02、24.14、12.55,均P0.05)；所有患者术后均随访6～12个月,无尿失禁,无明显前列腺增生复发。 结论 高龄患者前列腺增生行经尿道前列腺增生等离子体电切术安全有效,复发率低,值得推广。
[Abstract]:Objective to investigate the clinical effect of prostatic hyperplasia surgery in elderly patients. Methods from January 2005 to January 2009, 60 patients with benign prostatic hyperplasia (over 80 years old) were treated in our hospital. 56 patients were treated with transurethral plasma resection of prostatic hyperplasia. 4 patients were treated with suprapubic transvesical resection. Extirpation of proliferative gland. The IPSS score, residual urine volume and maximum urinary flow (Qmax) were compared before and after operation in all patients. Results all the 60 cases were successful. The scores of IPSS, residual urine volume and maximum flow rate before operation were (20.3 卤3.7), (85.11 卤13.0) ml and (8.7 卤2.1) ml/s;, respectively, without significant capsular perforation, ureteral orifice and urethral sphincter injury. The IPSS score and residual urine volume after operation were (11.5 卤2.1), (3.7.7 卤7.9) ml and (14.9 卤3.2) ml/s;, respectively, and the maximum urinary flow rate (Qmax) was higher than that before operation (t = 16.02 卤24.1412.55, P0.05). All patients were followed up for 6 ~ 12 months, no urinary incontinence, no urinary incontinence. There was no recurrence of prostatic hyperplasia. Conclusion the transurethral plasma resection of prostatic hyperplasia is safe and effective, and the recurrence rate is low in elderly patients with prostatic hyperplasia, which is worth popularizing.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R699
本文编号：2230609
[Abstract]:Objective to investigate the clinical effect of prostatic hyperplasia surgery in elderly patients. Methods from January 2005 to January 2009, 60 patients with benign prostatic hyperplasia (over 80 years old) were treated in our hospital. 56 patients were treated with transurethral plasma resection of prostatic hyperplasia. 4 patients were treated with suprapubic transvesical resection. Extirpation of proliferative gland. The IPSS score, residual urine volume and maximum urinary flow (Qmax) were compared before and after operation in all patients. Results all the 60 cases were successful. The scores of IPSS, residual urine volume and maximum flow rate before operation were (20.3 卤3.7), (85.11 卤13.0) ml and (8.7 卤2.1) ml/s;, respectively, without significant capsular perforation, ureteral orifice and urethral sphincter injury. The IPSS score and residual urine volume after operation were (11.5 卤2.1), (3.7.7 卤7.9) ml and (14.9 卤3.2) ml/s;, respectively, and the maximum urinary flow rate (Qmax) was higher than that before operation (t = 16.02 卤24.1412.55, P0.05). All patients were followed up for 6 ~ 12 months, no urinary incontinence, no urinary incontinence. There was no recurrence of prostatic hyperplasia. Conclusion the transurethral plasma resection of prostatic hyperplasia is safe and effective, and the recurrence rate is low in elderly patients with prostatic hyperplasia, which is worth popularizing.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R699
【参考文献】
相关期刊论文 前1条
1 ;Efficacy and safety of combined therapy with terazosin and tolteradine for patients with lower urinary tract symptoms associated with benign prostatic hyperplasia:a prospective study[J];Chinese Medical Journal;2007年05期
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