摘要
目的探讨经尿道电切术治疗前列腺囊肿的疗效。方法回顾性总结经尿道电切术治疗的15例前列腺囊肿患者的临床资料，所有患者均经超声、CT检查诊断，囊肿均靠近尿道前列腺部或稍突入膀胱腔。结果所有手术均取得成功，手术时间18～60（36±13）min，术中、术后无输血病例，术后住院（5．2±2．6）d，随访6～24个月，患者的临床症状消失，无并发症发生。术后3个月国际前列腺症状评分（IPSS）由术前的（27．24±5．6）分降至（7．5±1．6）分（P〈0．01），生活质量评分（QOL）由术前的（4．5±1．1）分降至（1．6±0．6）分（P〈0．01），最大尿流率（Qmax）由术前的（6．8±2．3）ml／s升至（22．4±4．8）ml／s（P〈0．01）。结论经尿道电切术治疗前列腺囊肿，具有疗效确切、创伤小、并发症少等优点，可作为治疗靠近尿道或突人膀胱的前列腺囊肿的一种理想方法。
Objective To evaluate the efficacy in treatment with transurethral electrocision for prostatic cyst. Methods A total clinical documents of 15 cases prostatic cyst treated with transurethral electrocision were analyzed retrospectively. All the cases were diagnosed confirmly by uhrasonography and CT, all the cysts closed to the prostatic urethra or intrude urinary bladder and all the patients underwent transurethral electrocision. Results All operations were performed successfully with operative time of 18-60 （36±13） min. No blood transfusion during and after the operation and postoperative hospital stay was （5.2 ± 2.6 ） d. All the patients had been followed up for 6-24 months, the clinic symptom disappeared and no complications happened. Three months after the operation,IPSS decreased from （27.2±5.6） scores to （7.5 ± 1.6） scores and QOL decreased from （4.5 ± 1.1 ） scores to （ 1.6 ± 0.6） scores （P〈 0.01 ）, respectively. Qmax increased from （6.8±2.3） ml/s to （22.4±4.8） ml/s （P 〈0.01）. Conclusion Transurethral electrocision is an effective therapeutic measure of prostatic cyst close to the prostatic urethra or intrude urinary bladder without so many complications.
出处
《中国医师进修杂志》
2011年第5期25-27,共3页
Chinese Journal of Postgraduates of Medicine
关键词
前列腺肿瘤
治疗
经尿道电切术
Prostatic neoplasms
Therapy
Transurethral electrocision
