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前列腺增生症(BPH)是老年男性最常见的疾病之一,国外报道发病率甚高。日本在60岁以上男性中,包括轻症在内每4人中就有一人患BPH。在60～70岁男性尸检中,约75%有前列腺增生,组织学检查大约90%。一、经尿道前列腺电切术(TURP) (一)TURP的历史及评价日本从1960年初开展TURP,当时仅限于少数几家大医院。到1988年底据不完全统计已达1000多家,80家大学附属医院积累了500～1000例以上的经验,其中慈惠医大、北里大学等积累了4500例以上的经验,可以说TURP已属于普及阶段。总的评价是,TURP适应证较开放手术宽,对病人打击小,术后痛苦小,恢复快,合并症少,死亡率低(0.2～0.5%)。
Prostate hyperplasia (BPH) is one of the most common diseases in elderly men, and the incidence in foreign countries is very high. In Japan, BPH is present in one out of every four people, including mild ones, among men over the age of 60. About 75% of male autopsies aged 60 to 70 have benign prostatic hyperplasia and about 90% of histological examination. First, transurethral resection of the prostate (TURP) (A) the history and evaluation of TURP Japan to carry out TURP from early 1960, was limited to a few large hospitals. By the end of 1988, according to incomplete statistics, it has reached more than 1,000, 80 university affiliated hospitals have accumulated more than 500 to 1000 cases of experience, of which Cixi Medical University, Beili University accumulated more than 4,500 cases of experience, it can be said that TURP has become popular stage. The overall assessment is that TURP indications are more open surgery, less impact on the patient, less postoperative pain, faster recovery, fewer complications, and lower mortality (0.2-0.5%).