摘要
目的 探讨耻骨上经膀胱前列腺摘除术 (TVP) ,不隔离腺窝预防术后膀胱出口梗阻(BOO)的效果。 方法 在TVP术中采用不隔离腺窝口的手术方法治疗前列腺增生症 (BPH) 2 0例。 结果 2 0例术后排尿正常 ,无BOO、尿失禁发生 ,IPSS由术前 2 9.4± 2 .0降至术后 8.8± 2 .0 ,生活质量评分 (QOL)由术前 5 .5± 0 .5降至 1.7± 0 .5 ,最大尿流率 (Qmax)由术前 (6 .8± 1.3)ml/s升至术后 (16 .8± 2 .0 )ml/s,平均尿流率 (AFR)由术前 3.5± 0 .9ml/s升至术后 10 .0± 2 .0ml/s ,手术前后四项指标差别均有显著性意义 ,P均 <0 .0 5。
Objective To evaluate suprapubic transvesical prostatectomy without partition of the prostatic cavity. Methods From Nov.1999 to Mar.2000,20 cases of BPH were treated by suprapubic transvesical prostatectomy without partition of the prostatic cavity and the therapeutic result was evaluated. Results The blood loss has been less.The patients have been followed up for 1～5 months.Neither incontinence nor bladder outlet obstruction has been noted.IPSS decreased from 29.4±2.0 to 8.8±2.0,Qmax increased from 6.8±1.3 ml/s to 16.8±2.0 ml/s,AFR increased from 3.5±0.9 ml/s to 10.0± 2.0 ml/s and QOL decreased from 5.5±0.5 to 1.7±0.5.All these differences were statistically significant ( P <0.05). Conclusions The procedure is safe and effective in preventing bleeding and bladder outlet obstruction.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2000年第12期744-745,共2页
Chinese Journal of Urology
