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目的探讨巨大良性前列增生症(benignprostatichyperplasia,BPH)的治疗方法。方法回顾性分析41例巨大的BPH患者采用经尿道前列切除术(transurethralresectionoftheprostate,TURP)治疗的临床资料。结果TURP后,前列腺症状评分(internationalprostatesymptomscore,IPSS)由术前平均30±2郾5分,降至术后8郾1±2郾5分;最大尿流率由术前平均(5郾1±2郾4)ml/s升至术后平均(18郾6±5郾3)ml/s;剩余尿由术前50～1100ml降至术后0～40ml。手术并发症5例(12郾3%),其中前列腺电切综合征(transurethralresectionsyndrome,TURS)3例,继发出血2例。结论在熟练掌握TURP技术后,用TURP治疗巨大BPH是一种相对安全、并发症少、疗效好的方法。
Objective To investigate the treatment of benign prostatic hyperplasia (BPH). Methods A retrospective analysis of 41 cases of huge BPH patients with transurethral resection of the prostate (TURP) treatment of clinical data. Results After TURP, the IPSS decreased from 30 ± 2 郾 5 points preoperatively to 8 郾 1 ± 2 郾 5 points postoperatively. The maximum urinary flow rate decreased from 5 ± 1 ± 2郾 4) ml / s rose to an average of postoperative (18 郾 6 ± 5 郾 3) ml / s; residual urine decreased from 50 ~ 1100ml preoperative 0 ~ 40ml. Five patients (12% -3%) had surgical complications, including 3 cases of transurethral fusion syndrome (TURS) and 2 cases of secondary bleeding. Conclusions After TURP technique is mastered, the treatment of giant BPH with TURP is a relatively safe, less complication and effective method.