摘要
目的评价经尿道前列腺电汽化术(TUVP)治疗前列腺增生(BPH)的疗效及其并发症的防治方法。方法回顾性分析612例BPH患者进行TUVP的临床资料。结果所有患者术后早期均能顺畅排尿,合并膀胱结石、肿瘤及腹股沟斜疝等疾病的患者同期成功进行手术治疗。主要的并发症有:尿道狭窄、TURP综合征、严重出血、电解质紊乱。结论TUVP治疗BPH疗效显著,创伤小,并发症少,也适合高危前列腺增生患者的治疗,但仍应重视主要并发症的防治。合并膀胱结石、肿瘤及腹股沟疝等疾病的患者可同期进行手术。
[Objectives] To investigate efficacy and safety of transurethral electrovaporization of prostate（TUVP） for treatment of benign prostatic hyperplasia （BPH）, and to explore prevation and management of its complication. [Methods] Clinical data of 612 cases with BPH undergoing TUVP were retrospectively reviewed. [Results] All patients were successfully performed TUVP and voided freely after removal the catheter. 63 cases with bladder calculus or bladder tumor or inguinal hernia were simultaneously operated. Main complications： urethral stricture（4.7%）, TURS（1. 1%）, severe bleeding （1.5%）, hyposodium（4.4%） and hypokalemia（3.4%）. [ Conclusions ] TUVP is a procedure of effective, less expansive and less complications for treatment BPH, and also safe for high risk BPH, while main complications being emphasized. One-stage surgical management is capable of performing BPH with bladder calculus or bladder tumor or inguinal hernia.
出处
《中国内镜杂志》
CSCD
北大核心
2007年第12期1314-1317,共4页
China Journal of Endoscopy
关键词
前列腺增生
经尿道前列腺电汽化术
并发症
benign prostatic hyperplasia
transurethral electrovaporization of prostate
complication
