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目的总结分割法切除在巨大良性前列腺增生症(BPH)中的应用。方法回顾性分析29例巨大BPH患者采用分割法经尿道前列腺切除术(TURP)治疗的临床资料。切除前列腺重量80-100g,平均87g;手术时间50-125min,平均86min;术后输血5例(17.2%)。结果前列腺症状评分(IPSS)由术前平均28±2.3分降至术后8.2±2.5分;最大尿流率由术前平均6.1±2.5ml/s升至术后平均17.6±5.4ml/s;膀胱残余尿量由术前50-1000ml降至术后0-45ml。手术并发症4例(13.8%),其中前列腺电切综合征(TURS)2例,尿道狭窄2例。结论 TURP是治疗巨大BPH相对安全、并发症少、疗效较好。
Objective To summarize the application of segmentectomy in giant benign prostatic hyperplasia (BPH). Methods Retrospective analysis of 29 cases of huge BPH patients with subtotal transurethral resection of the prostate (TURP) treatment of clinical data. Prostate weight 80-100g, an average of 87g; operation time 50-125min, an average of 86min; postoperative blood transfusion in 5 cases (17.2%). Results The score of IPSS decreased from 28 ± 2.3 to 8.2 ± 2.5 after surgery. The maximum flow rate increased from 6.1 ± 2.5ml / s to 17.6 ± 5.4ml / s preoperatively. Urinary bladder residual urine volume decreased from 50-1000ml preoperative 0-45ml. Four cases (13.8%) had surgical complications, including 2 cases of TURS and 2 cases of urethral stricture. Conclusion TURP is relatively safe for treatment of huge BPH with fewer complications and better curative effect.