【中图分类号】R699【文献标识码】A【文章编号】1005-2720(2010)06 - 06 - 02

    【摘要】目的 探讨经尿道前列腺汽化电切术治疗良性前列腺增生(BPH)的疗效。方法 回顾性分析TUVP联合TURP治疗前列腺增生症58例的临床资料。结果 术后排尿功能恢复良好,术后5～26个月时随访,国际前列腺症状评分(IPSS)平均8.3分,最大尿流率(MFR)平均18.0ml/s,58例B超剩余尿量平均为15ml。术中发生电切综合征1例,输血1例。膀胱颈后尿道狭窄1例,术后假性尿失禁1例。结论 联合应用TUVP和TURP治疗前列腺增生症具有效果好、安全性高及并发症少等优点,值得临床推广应用。

    【关键词】前列腺增生症;经尿道前列腺电气化术;经尿道前列腺电切术

    Transurethral vaporized resection of the prostate for benign prostatic hyperplasia

    Wang zhanghua

    (Affiliated Xiang yue Hospital of Hunan Institute ofParasitic Diseases,yueyang,Hunan414000)

    【Abstract】ObjectiveTo explore the clinical efficacy of transurethral vaporized resection of the prostate (TUVP) for benign prostatic hyperplasia (BPH). Methods58 patients with BPH were treated by combining TUVP and TURP. The data were analyzed retrospectively. Results All of the cases were followed up for 5 or 26 months,vcfiding function recovered very well. The average of IPSS was 8.3,the average of maximum uroflowmetry was 18.0 ml/s,and the average of residual urine was 15 ml in 58 cases.the number of TUR syndrome occurred was 1,1 patien was transfused in operation,bladder neck and urethral stricture was 1 case,1 false incontinence was found after the operation. Conclusion Combined use of TUVP and TURP for the treatment of BPH is safe and efficient with low complications. ......