经尿道前列腺汽化电切除术治疗前列腺增生的临床观察

目的观察经尿道前列腺汽化电切除术（TUVP）治疗前列腺增生的效果。方法回顾性分析我院2000年4月至2006年6月期间用TUVP治疗前列腺增生患者的效果、并发症及预防治疗方法。结果600例前列腺增生患者TUVP治疗后，症状明显改善，患者国际前列腺症状评分明显下降，剩余尿量减少，最大尿流率增加，生活质量评分也明显升高。并发症有：暂时性尿失禁17例、迟发性出血18例，无经尿道电切综合征发生。结论TUVP是治疗前列腺增生的首选方法，为避免并发症的发生，应加强术前准备、术中监测和术后处理等工作。

Clinical observation transurethral vaporization of prostate in treatment of benign prostates hypertrophy

Objective To observe the clinical effects of transurethral vaporization of prostate(TUVP) in treatment of benign prostatic hypertrophy(BPH).Methods From April 2000 to July 2006,a total of 600 patients with BPH in our hospital were treated by TUVP,whose treatment efficacy,complications and their prevention methods were analyzed retrospectively. Results After treatment by TUVP,the patients' symptoms were improved,their international prostate symptom score(IPSS) and residual urine volume(PUV) decreased, and their maximum flow rate(Qmax) and quality of life score(QOL) increased. There were some complications in these patients,such as temporary incontinence(17 cases), delayed bleeding(18 cases),but there was no transurethral resection syndrome. Conclusion TUVP is the first method for treatment of BPH,and preoperative preparation, intraoperative monitoring and postoperative treatment should be strengthened to avoid complications.