三种经尿道前列腺切除术的比较研究

目的 探讨三种经尿道前列腺切除术的优缺点。方法 回顾性分析经尿道前列腺电切术(TtmP)400例、经尿道前列腺汽化术(TUVP)20例、经尿道前列腺汽化电切术(TVRP)400例的临床资料。结果 3种手术方法的适应证、禁忌证基本相同。并发症略有差异：术后出血TURP12例(3％)，TUVP2例(10％)，TUVRP10例(2．5％)；冲洗液外渗TURP8例(2．0％)，TUVP1例(5％)，TUVRP6例(1．5％)；迟发性出血TURP10例(2．5％)，TUVP2例(10％)，TUVRP6例(1．5％)；尿道狭窄TURP6例(1．5％)，TUVP 1例(5％)，TUVRP2例(0．5％)。结论 TURP和TUVRP的适应证宽，并发症少，安全性高，疗效确切；比TUVP更具临床实用价值。

A Comparative Study on the Operations of TURP,TUVP and TUVRP for Prostate

Objective To compare three operative approaches of transurethral resection for benign prostatic hyperplasia (BPH). Methods 820 cases of BPH were treated with transurethral electroresection (TURP)?transurethral vaporization(TUVP) and transurethral vaporization resection (TUVRP) for prostate. Results The general results were satisfactory. There were no difference in indications and a little difference in complications among TURP? TUVP and TUVRP. The postoperative incidences of bleeding were 3%?10%?2.5%,irrigation solution exudation were 2.0%?5%?1.5%, delayed bleeding were 2.5%?10%?1.5% and urethal stricture were 1.5%?5%?0.5% respectively. Conclusions Compared to TUVP, TURP and TUVRP have more indications, and less complications. They are safer and more effective.