经尿道气化结合电切术治疗前列腺增生

目的探讨经尿道前列腺气化电切术（TUVP）联合经尿道前列腺电切术（TURP）治疗前列腺增生的疗效。方法回顾性分析TuvP联合TURP治疗前列腺增生症602例的临床资料。结果手术时间30．150min，平均70min。术中输血5例（0．8％），术中前列腺包膜穿孔7例（1．1％），出现电切综合征（TURS）10例（1．7％），因术中出血中转开放手术3例（0．4％）。无永久性尿失禁病例。术后随访378例，随访时间3-120个月，IPSS由术前21．1下降至7．6；最大尿流量由术前10．3ml／s增加至19．3ml／s。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。

The combined use of transurethral electrovaporization of the prostate and transurethral resection of the prostate for benign prostatic hyperplasia

Objective To evaluate the clinical value of combining use of transurethral electrovaporization of prostate（TUVP） and transurethral resection of the prostate（TURP） for the treatment of BPH. Methods 602 patients with BPH were treated by combining TUVP and TURP. The data were analyzed retrospectively. Results Mean operative time was 70 min（30-150min）. Blood transfusion was needed in 5 patients. The perforation of prostate capsule was occurred in 7 patients. Transurethral resection syndrome （TRuS） were observed in 10 patients. There was no permannent urinary incontinence. Among 602 patients, 378 patient were followed up for 3-120 months. IPSS decreased from 21.1 preoperatively to 7.6 postoperatively and Qmax increased from 10.3 ml/s to 19.3 ml/s. Conclusions Combined use of TUVP and TURP for the treatment of BPH is safe and efficient with low complications.