症状性良性前列腺增生采用经尿道前列腺汽化电切除术的疗效观察

目的：研究良性前列腺增生症（BPH）采用经尿道前列腺汽化电切除术（TUVP）治疗的临床疗效与其安全性。方法：采用从膀胱颈至精阜先汽化突入膀胱内的前列腺,然后分别气化两侧的前列腺组织,气化深度达到出现前列腺外科包膜,达到外科包膜时可见白色纤维,并伴有少量出血,此时可用气化电极电凝止血。术后放入22F三腔气囊尿管,以便膀胱冲洗。结果：手术时间平均46.8min。65例患者术后1个月有轻度血尿,2例出现严重血尿,经电凝后止血,无其他并发症。术后平均随访12个月IPSS评分从24.8分减至5.4分,生活质量评分也从4.9分减至2.1分。剩余尿从108ml减至22ml。229例尿动力学测定显示无膀胱出口梗阻,其余患者显示从术前的重度膀胱出口梗阻到术后的轻度梗阻。结论：经尿道前列腺汽化电切术是一种新的、易于把握的手术方法,具有创伤小,出血少,安全性高,恢复快,死亡率低,疗效稳定的特点,并且能替代传统开腹前列腺切除术。

Efficacy of symptomatic benign prostatic hyperplasia with transurethral resection of prostate electricity

Objective：To study the clinical efficacy and its safety of benign prostatic hyperplasia（BPH） with transurethral resection of prostate electric（TUVP） . Methods：The sperm from the bladder neck to the mound first broke into the bladder of vaporization of the prostate,then both sides of the prostate,respectively gasification,gasification depth of occurrence of prostate surgery capsule,to see the white fibers when the surgical capsule,and accompanied by a small amount of bleeding. Gasification can be used at this time electrode hemostasis. After three chamber balloon catheter into the 22 F in order to flush the bladder. Results：The mean operative time was 46.8 minutes.One month after 65 cases of mild hematuria,2 cases of severe hematuria,after electrocoagulation after the bleeding,no other complication. The mean follow-up of 12 months IPSS score reduced from 24.8 to 5.4 points,the quality of life score also reduced from 4.9 to 2.1 points. Residual urine 108 ml reduced to 22 ml. 229 cases of urodynamic tests showed no bladder outlet obstruction,the remaining number of display cases of severe from preoperative to postoperative bladder outlet obstruction in mild obstruction. Conclusion：Transurethral resection of prostate is a new,easy to grasp the surgical methods,with less trauma,less bleeding,high security,fast recovery,mortality rate is low,efficacy and stability characteristics. And can be an alternative to traditional abdominal resection of the prostate.