经尿道气化电切术治疗高危重度前列腺增生症

目的：探讨经尿道胶列腺气化电切术（TUVRP）治疗高危重度前列腺增生症（BPH）的临床价值。方法：63例平均年龄79岁,有全身并发症和泌尿科并发症2种以上,前列腺测重＞50g的患者,经个体化围手术期准备后行TUVRP,观察手术安全性和有效性。结果：全部病例均顺利承受手术,随访3－6个月,平均IPSS从31分降至7分,最大尿流率（Qmax)从7ml/s上升至22 ml/s,剩余尿量从155ml下降至50ml,结论：TUVRP是彻底治疗高危重度BPH安全,有效的方法。

Transurethral vapor-resection of the prostate in high risk patients with large volume benign prostate hyperplasia

Purpose: To evaluate transurethral vapor-resection of the prostate in high risk patients with large volume BPH.Method: 63 cases of BPH with mean age 79 years old, There were coexisted urological and systemic diseases >2 kinds , Mean prostate weight >50 g were treated with TUVRP. Patients were followed up with IPSS,QOL , PUR and urodynamic examinations.Result: TUVRP procedures were successful in all cases after meticulous pro-opertive preparation. The IPSS were decreased from 31 preoperativelly to 7 postoperatively, Q max increased form 7 ml/s preoperativelly to 22 ml/s postoperatively, PUR decreased from 155 ml to 50 ml.Conclusion: TUVRP was a simple, effective and safe method to treat high risk patients with large volume BPH.