Jung P, Mersdorf A, Mattelaer P, Jakse G
Urologische Klinik der RWTH Aachen.
Urologe A. 1995 Nov;34(6):461-5.
Since february 1993 90 patients with BPH were treated with VLAP. Preoperatively determined parameters, WHO Prostate Symptom Score, uroflow, residual urine and obstruction grade were reevaluated 3, 6 and 9 months after operation. After dividing the whole collective into two groups (prostate size < 50 ml, prostate size > 50 ml), we could conclude, that VLAP in smaller prostate glands is similarly effective as transurethral resection, but in larger glands by obstructive symptoms can be improved by VLAP without removing the urodynamically proved obstruction.
自1993年2月起,90例良性前列腺增生患者接受了腹腔镜下耻骨后前列腺切除术(VLAP)。术前确定的参数,如世界卫生组织前列腺症状评分、尿流率、残余尿量和梗阻分级,在术后3、6和9个月进行了重新评估。将整个群体分为两组(前列腺体积<50ml,前列腺体积>50ml)后,我们可以得出结论,VLAP在较小的前列腺腺体中与经尿道前列腺切除术效果相似,但在较大的腺体中,VLAP可以改善梗阻症状,而无需解除经尿动力学证实的梗阻。