【摘要翻译】TURP数十年的历程——亚洲的单一机构30年结果比较
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TURP数十年的历程-亚洲的单一机构30年结果比较
引言：这项研究是为了评估我们单位过去30年TURP的结果和并发症。
材料和方法：此回顾性研究包含3个不同的时段。70年代的168位病人，80年代末的175位病人和90年代末的283位病人。所有病人均至少随访18个月。
结果：平均年龄为70年代68.8岁，80年代69.2岁，1999年69.4岁。由于急性尿潴留而手术的比例从70年代的78.6%(132)到80年代的54%(96)再到90年代的43%(122)。平均切除时间80年代为44.8分钟，90年代为41.8分钟。切除前列腺的质量70年代为22.1g, 1989年为24.2g，1999年为22.2g。70年代44%(74)需要输血， 1989年11%(19)的人需要输血，1999年4%(11)的人需要输血。70年代2例病人死亡(急性心肌梗塞和肺炎)，1989年1例患者死于肺炎。1999年无患者死亡。70年代4例病人发生TURP综合症，1989年有3例，1999年有1例。术后感染率70年代为25%(42),1989年为16%(29)，1999年为6%。
结论：随着TURP经验和技术的提高，输血、TURP综合症和术后尿路感染率等并发症发生率下降。
Ann Acad Med Singapore. 2004 Nov;33(6):775-9.
Transurethral resection of prostate (TURP) through the decades--a comparison of results over the last thirty years in a single institution in Asia.
Lim KB, Wong MY, Foo KT.
Department of Urology, Singapore General Hospital, Singapore. gurlkb@sgh.com.sg
INTRODUCTION: This study was conducted to evaluate the results and complications of transurethral resection of prostate (TURP) over the last 30 years in our institution. MATERIALS AND METHODS: This retrospective study encompasses 3 different eras: 168 patients in the late 70s, 175 patients in the late 80s and 283 patients in the late 90s. All the patients had at least 18 months of follow-up. RESULTS: The mean age from the 1970s, the 1980s and 1999 were 68.8 years, 69.2 years and 69.4 years respectively. The proportion of patients operated on for acute retention fell from 78.6% (132) in the 1970s, to 54% (96) in the 1980s, and 43% (122) in 1999. The mean resection time was 44.8 minutes in 1989 and 41.8 minutes in 1999. The mean weight of prostate resected was 22.1 g in the 1970s, 24.2 g in 1989 and 22.2 g in 1999. 44% (74) required blood transfusion in the 1970s, with 11% (19) in 1989 and 4% (11) in 1999. There were 2 deaths (acute myocardial infarction and pneumonia) in the 1970s, 1 (pneumonia) in 1989 and no mortality in 1999. There were 4 patients with TURP syndrome in the 1970s, 3 in 1989 and 1 in 1999. The incidence of postoperative urinary tract infection (UTI) was 25% (42) in the 1970s, 16% (29) in 1989 and 6% (17) in 1999. CONCLUSIONS: As expertise and experience in TURP progress, the complication rates fall, as evidenced by the lower rates of transfusion, TURP syndrome and postoperative UTI in the later series.
PMID: 15608837 [PubMed - in process]
引言：这项研究是为了评估我们单位过去30年TURP的结果和并发症。
材料和方法：此回顾性研究包含3个不同的时段。70年代的168位病人，80年代末的175位病人和90年代末的283位病人。所有病人均至少随访18个月。
结果：平均年龄为70年代68.8岁，80年代69.2岁，1999年69.4岁。由于急性尿潴留而手术的比例从70年代的78.6%(132)到80年代的54%(96)再到90年代的43%(122)。平均切除时间80年代为44.8分钟，90年代为41.8分钟。切除前列腺的质量70年代为22.1g, 1989年为24.2g，1999年为22.2g。70年代44%(74)需要输血， 1989年11%(19)的人需要输血，1999年4%(11)的人需要输血。70年代2例病人死亡(急性心肌梗塞和肺炎)，1989年1例患者死于肺炎。1999年无患者死亡。70年代4例病人发生TURP综合症，1989年有3例，1999年有1例。术后感染率70年代为25%(42),1989年为16%(29)，1999年为6%。
结论：随着TURP经验和技术的提高，输血、TURP综合症和术后尿路感染率等并发症发生率下降。
Ann Acad Med Singapore. 2004 Nov;33(6):775-9.
Transurethral resection of prostate (TURP) through the decades--a comparison of results over the last thirty years in a single institution in Asia.
Lim KB, Wong MY, Foo KT.
Department of Urology, Singapore General Hospital, Singapore. gurlkb@sgh.com.sg
INTRODUCTION: This study was conducted to evaluate the results and complications of transurethral resection of prostate (TURP) over the last 30 years in our institution. MATERIALS AND METHODS: This retrospective study encompasses 3 different eras: 168 patients in the late 70s, 175 patients in the late 80s and 283 patients in the late 90s. All the patients had at least 18 months of follow-up. RESULTS: The mean age from the 1970s, the 1980s and 1999 were 68.8 years, 69.2 years and 69.4 years respectively. The proportion of patients operated on for acute retention fell from 78.6% (132) in the 1970s, to 54% (96) in the 1980s, and 43% (122) in 1999. The mean resection time was 44.8 minutes in 1989 and 41.8 minutes in 1999. The mean weight of prostate resected was 22.1 g in the 1970s, 24.2 g in 1989 and 22.2 g in 1999. 44% (74) required blood transfusion in the 1970s, with 11% (19) in 1989 and 4% (11) in 1999. There were 2 deaths (acute myocardial infarction and pneumonia) in the 1970s, 1 (pneumonia) in 1989 and no mortality in 1999. There were 4 patients with TURP syndrome in the 1970s, 3 in 1989 and 1 in 1999. The incidence of postoperative urinary tract infection (UTI) was 25% (42) in the 1970s, 16% (29) in 1989 and 6% (17) in 1999. CONCLUSIONS: As expertise and experience in TURP progress, the complication rates fall, as evidenced by the lower rates of transfusion, TURP syndrome and postoperative UTI in the later series.
PMID: 15608837 [PubMed - in process]
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