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目的:为了更深入的研究经尿道前列腺电气化切除术高龄男性良性前列腺增生症的临床治疗效果。方法:选取2011年7月到2013年7月在我院进行治疗的高龄前列腺增生病患28例,对这些病患的临床资料进行回顾分析。结果:这28例病患的手术时间在40到90分钟之间,电气切除前列腺的组织为22到85g,病患在手术治疗中的失血量在30到300ml之间;在手术进行中,这些病患均没有产生其它综合病症或是大出血;病患前列腺病症的评分值由手术前的32.4下降到手术后的8.4;平均尿液的最大流量由手术前每秒6.3ml提升到手术后每秒16.7ml;病患膀胱中的残余尿液由手术前的85ml减少到手术后的14ml;手术完成后对病患进行3到24个月的随访,这些病患经治疗都得到治愈,尿液排放较为顺畅。结论:为老年良性前列腺增生的病患提供经尿道电气化切除术前列腺手术,其治疗效果显著,并且是一种安全性较高的治疗方法,值得在临床医学中推广。
Objective: To study the clinical effect of transurethral electrovaporization of prostate on benign prostatic hyperplasia (BPH) in older men. Methods: From July 2011 to July 2013 in our hospital for treatment of 28 cases of elderly patients with benign prostatic hyperplasia, the clinical data of these patients were retrospectively analyzed. RESULTS: The 28 patients underwent surgery between 40 and 90 minutes, with 22 to 85 g of prostheses electrostatically removed and between 30 and 300 ml of blood loss during the surgical procedure. During surgery, these The patients did not produce any other general conditions or hemorrhage; the score of prostate disease in patients was decreased from 32.4 before surgery to 8.4 after surgery; the average flow rate of urine increased from 6.3ml per second before surgery to every second after surgery 16.7 ml; residual urine in the patient’s bladder was reduced from 85 ml before surgery to 14 ml after surgery; patients were followed up for 3 to 24 months after the operation was completed and these patients were cured after treatment and urine discharge More smooth. Conclusion: Transurethral electrovaporization of the prostate for patients with benign prostatic hyperplasia (BPH) has significant therapeutic effect and is a safe treatment. It is worth to be popularized in clinical medicine.