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B超定位下经尿道前列腺扩裂术治疗前列腺增生的临床应用 被引量:5

Benign Prostatic Hyperplasia Treated with Complex High Pressure Water Sac TUPSc under B Supersonic Localization
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摘要 目的探讨B超定位下复合高压水囊导管经尿道前列腺扩裂术治疗良性前列腺增生的疗效及优点。方法回顾性分析34例B超定位下经尿道复合高压水囊导管前列腺扩裂术治疗的良性前列腺增生患者的临床疗效。结果术后34例均获得随访,随访率100%。随访时间6~20个月。平均尿流率由术前平均2.4ml/s升到术后平均7.2ml/s(术后6个月),残余尿量由平均100.6ml减至17.2ml,国际前列腺症状评分(I-PSS)由术前平均26.7分降至4.8分,生活质量评分(QOL)由术前的分5.3分降到1.6分。结论B超定位下经尿道复合高压水囊前列腺扩裂术治疗前列腺增生,具有安全性高、并发症少、疗效好,并能有效减少患者术后会阴部不适(淤血、水肿、疼痛)和尿路感染发生率的优点。 Objective To discuss the clinical effects and advantages of benign prostatic hy- perplasia (BPH) treated with complex high pressure water sac transurethral prostatic splitting (TUPS) under a B supersonic localization. Methods Retrospective analysis of clinical results of 34 BPH patients treated with complex high pressure water sac TUPS under a B supersonic localization. Results 34 patients were followed up 100%. Follow up period 6 - 20months. Qave increase from 2. 4ml/s to 7.2ml/s(6 months) , residual urinary volume(RUV) decrease from 100.6ml to 17.2ml, international prostatic symptom score(IPSS) decrease from 26.7to 4.8, Quality Of Life(QOL) derease from 5.3 to 1.6. Conclusion Complex high pressure water sac TUPS under a B supersonic localization is a safe, less complication, and good treatment for BPH, and it also decrease perineum unwell( congestion, edema, pain) and urinary tract infection incidence.
出处 《医药论坛杂志》 2009年第22期29-30,32,共3页 Journal of Medical Forum
关键词 良性前列腺增生 B超定位 经尿道前列腺扩裂术 尿路感染 疗效 Benign prostatic hyperplasia(BPH) B supersonic localization Transurethral prostatic splitting(TUPS) Urinary tract infection Clinical effect
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