摘要
目的观察前列腺增生合并膀胱癌患者同期行经尿道电汽化切除术的临床效果。方法选取前列腺增生合并膀胱癌且行同期汽化电切手术治疗患者35例,比较患者术前及术后6个月的国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流量(Qmax)、残余尿量(PRV),并术后随访观察1～2年膀胱癌的转移及复发情况。结果 6个月的术后观察,IPSS、QOL及PRV明显低于术前,Qmax明显高于术前,差异具有统计学意义(P<0.05);术后随访1～2年,所有患者均无膀胱癌复发及转移现象。结论电切术是前列腺增生合并膀胱癌患者比较安全的治疗方法,可以减轻患者的痛苦,能有效地改善患者的生活质量。
Objective To observe the clinical effect of transurethral electrovaporization ablation（TUVP） applied to the patients with benign prostatic hyperplasia consolidated with bladder cancer. Methods To select 35 patients of benign prostatic hyperplasia consolidated with bladder cancer were performed TU VP at tile same time, compare with the preoperative and th postop- erative 6 months of the score of internaiional prostate symptom （ IPSS）, tile score of quality of life （ QOL）, tile rnaximmn urinary flow （Qmax）, residual urine volume （PRV）, and postoperative follow-up l ～ 2 year bladder cancer metastasis and recurrence. Results After six months of observation, IPSS, QOL and PRV was significan!ly lower than that of the preoperative, Qmax is ob- viously higher than that of the preoperative, it was significant difference （P 〈0. 05） ; In the follow-up of I -2 years, all patients were no recurrence and metastasis. Conclusion TUVP is a sMe method of treat benign prostate hyperplasia consolidated with bladder cancer patients, it can reduce patients the pain of, it can effectively improve the patients quality of life.
出处
《四川医学》
CAS
2012年第12期2181-2182,共2页
Sichuan Medical Journal
关键词
前列腺增生症
膀胱癌
经尿道汽化手术
benign prostatic hyperplasia
bladder cancer
transurethral electrovaporization ablation
