经尿道前列腺电切术后远期疗效的评价
Evaluation of long - term effect of transurethral resection of prostate
目的 探讨经尿道前列腺电切术(TURP)的手术方法.方法 观察15例前列腺增生症(BPH)电切术后尿道前列腺部的膀胱镜下表现和MRI检查,测量国际前列腺症状评分(IPSS)、生活质量评分(QOL)和最大尿流率.结合手术体会、文献进行分析.结果 术后6年,电切达前列腺包膜的患者,仍有宽阔的尿道前列腺部,未见腺体增生.MRI显示膀胱颈呈漏斗型,膀胱镜下膀胱颈无抬高或挛缩的患者,虽然尖区残留腺体有不同程度的增生,但IPSS、QOL和最大尿流率尚满意.结论 可沿外科包膜平面将增生腺体大部分切除的经尿道前列腺剜除术,远期疗效最佳.
更多Objective To evaluate surgical techniques of the transurethral resection of prostate (TURP).Methods Fifteen cases of benign prostatic hyperplasia after TURP had cystoscopy and MRI examination,measurement of IPSS,QOL and flow rate,literatures review was analyzed with operation experience.Results Six years after operation,prostatic urethra was liberality in the patients who had prostatic capsule sparing,no gland hyperplasia.MRI showed that patients with funnel -shaped bladder neck,without bladder neck elevation or contracture,the IPSS,QOL and the maximum flow rate was still satisfied,although there were tissue residue and gland cell proliferation.Conclusions Because transurethral plasma kinetic enucleation of prostate resection reached the prostatic capsule,long - term curative effect will be satisfactory.
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