摘要
目的 观察应用前列腺汽化电切术（TUVP）联合围术期用药治疗良性前列腺增生症（BPH）合并慢性前列腺炎（CP）的临床疗效及安全性.方法 选取本院自2009年5月～2012年3月收治的85例BPH合并CP患者作为研究对象,所有患者均给予TVRP治疗,术前给予抗生素、受体阻滞剂,术后给予胆碱能受体阻滞剂,观察治疗效果及并发症情况.结果 （1）本组85例患者手术均获成功,手术平均时间（45.2±10.3） min,术中平均出血量（38.5±11.2）mL,切除前列腺组织净重平均（36.2±9.8）g.术后尿液转清时间为4 ～31h,平均（12.4±3.5）h.术后拔管平均时间为（2.3±0.8）d.对所有患者随访6～18个月,尿频、尿不尽等临床症状均明显减轻甚至消失,无复发病例.（2）85例患者治疗后较治疗前IPSS、QOL及MFR各项指标均明显改善,比较有显著差异（P＜0.01）,具有统计学意义.（3）术后出现尿道出血2例,尿路感染1例,无膀胱痉挛、尿失禁、尿道狭窄病例.结论 应用前列腺汽化电切术（TUVP）联合围术期用药治疗良性前列腺增生症（BPH）合并慢性前列腺炎（CP）效果理想,且并发症少、术后恢复快,值得推广应用.
Objectives To observe the clinical effect and safety of TUVP combined with medication in perioperative period treating BPH combined with CP.Methods 85 patients with BPH combined with CP treated in our hospital from May 2009 to March 2012 were selected as the research objects.All the patients were given the treatment of TVRP,and were treated with antibiotic before operation and α1 receptor blocker before operation and were treated with cholinergic receptor blocker after operation.The treatment effect and complications of 2 groups were observed.Results （1） The operation of 85 patients were successful,the average operation time was （45.2 ± 10.3） min,the intraoperative bleeding amount was（38.5 ± 11.2） ml,and the average net weight of resection of prostate tissue was（36.2 ±9.8）g.Postoperative urine turned clear time was 431h,the average time was （12.4 ±3.5）h.The average canula extubated time was （2.3 ± 0.8） d.All the patients were followed up for 6 ～ 18 months.The clinical symptoms including frequent micturition and not finishing urination reduced significantly,even disappeared,and there was no recurrence of cases.（2） The index of IPSS,QOL and MFR of 85 patients after treatment improved evidently compared with that after treatment,the comparison had evident difference（P 〈 0.01）,which had statistical significance.（3） After operation,there were 2 cases with urethral bleeding and 1 case with urinary tract infection,and there was no case with cystospasm,uroclepsia and urethrostenosis.Conclusions Applying TUVP combined with medication in perioperative period to treat BPH combined with CP has ideal effect,less complications and rapid recovery after operation,which is worthy of promotion in clinical practice.
出处
《国际泌尿系统杂志》
2013年第6期766-769,共4页
International Journal of Urology and Nephrology
