[1]刘和谦,陈弋生,邹滨,等.前列腺体积对经尿道前列腺电切术治疗效果的影响[J].中华腔镜泌尿外科杂志(电子版),2017,11(01):58-61.[doi:10.3877/cma.j.issn.1674-3253.2017.01.014 ]
　Liu Heqian,Chen Yisheng,Zou Bin,et al.The impact of prostate volume on the outcomes of transurethral resection of the prostate[J].,2017,11(01):58-61.[doi:10.3877/cma.j.issn.1674-3253.2017.01.014 ]
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前列腺体积对经尿道前列腺电切术治疗效果的影响()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
11
期数:
2017年01期
页码:
58-61
栏目:
临床研究
出版日期:
2017-03-06

文章信息/Info

Title:
The impact of prostate volume on the outcomes of transurethral resection of the prostate
作者:
刘和谦; 陈弋生; 邹滨; 孔艰; 陶凌松; 朱光标; 陶良俊
241000 芜湖市第二人民医院泌尿外科，安徽省芜湖市前列腺疾病研究所
Author(s):
Liu Heqian;  Chen Yisheng;  Zou Bin;  Kong Jian;  Tao Lingsong;  Zhu Guangbiao;  Tao Liangjun.
Department of Urology & Institute of Prostatic Diseases, the Second People's Hospital of Wuhu, Anhui 241000, China
关键词:
前列腺增生;  前列腺体积;  前列腺切除术
DOI:
10.3877/cma.j.issn.1674-3253.2017.01.014
摘要:
目的 评估前列腺体积对经尿道前列腺电切术治疗效果的影响。方法 回顾性分析我院2012年1月至2014年7月收治的220例行经尿道前列腺电切术患者资料，所有患者术后病理均为良性前列腺增生。根据前列腺体积将患者分为三组：A组前列腺体积（PV）<40 ml，B组PV 40~80 ml，C组PV>80 ml。统计所有患者术前及术后1个月国际前列腺症状评分（IPSS），生活质量评分（QOL）、最大尿流率（Qmax）、平均尿流率（Qave）、残余尿量（RUV）、前列腺特异抗原（PSA）及术后并发症等数据资料。结果 A组51例，年龄（71±10）岁；B组107例，年龄（71±9）岁；C组62例，年龄（72±7）岁。三组患者除前列腺体积外其他术前基础指标差异无统计学意义（P>0.05），术中及术后并发症发生情况差异无统计学意义（P>0.05），术后排尿情况较术前明显改善，但三组间比较，仅Q-max和Q-ave手术前后变化值差异有统计学意义（P<0.05），IPSS、QOL及RUV组间比较差异无统计学意义（P>0.05）。结论前列腺体积大小不是经尿道前列腺电切术并发症发生决定因素，不限制前列腺电切术适应范围，不影响主观排尿困难症状和生活质量评分，但中度前列腺增生者（PV= 40~80 ml)电切术后尿流率改善更明显。

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备注/Memo

备注/Memo:
基金项目：安徽省省卫生厅资助课题（09A070）
通讯作者：陈弋生，Email：drchenyisheng@sina.com
更新日期/Last Update: 2017-02-20