经尿道前列腺电气化切除术治疗效果的多因素分析

目的:总结和评价经尿道前列腺电气化切除术疗效.方法:对372例前列腺患者治疗效果进行回顾性多因素分析.结果:最大尿流率Qmax由术前(7.7±3.8)ml/s到术后(17.9±3.2)mL/s,国际前列腺症状评分由术前(29.5±3.6)分到术后(9.1±2.9)分,生活质量评分由术前(5.5±0.3)分到术后(1.9±0.3)分,术中前列腺包膜穿孔2例,术后尿失禁2例,前尿道狭窄17例,后尿道狭窄7例,电切综合征5例,无死亡病例.结论:术前,术中,术后相关因素控制可提高疗效,降低并发症.

Multivariate analysis of prostate transurethral electrovaporization for benign prostate hyperplasia

Objective：To evaluate the clinical effect of prostate transurethral electrovaporization for benign proslate hyperplasia （BPH）. Methods：372 cases of BPH were reviewed and tested. Results：In the 372 cases,MFR elevated from （7.7±3.8）mL/s to （17.9±3.2） mL/s,IPSS dropped from （29.5±3.6） to （9.1±2.9） and QQL droped from （5.5±0.3） to （1.9±0.3） after TUVP.There were 5 cases of TUR sysdrone,2 cases of prostatic envelope perforation in operation,and 2 of incontinence,17 of distral urethral stricture and 7 of proximal urethral stricture after the operation,no death case.Conclusion：Preoperative and postoperative controlling related factors can enhance the curative effect and reduce complications.