经尿道气化联合电切术治疗前列腺增生症

目的：探讨前列腺增生症（BPH）的有效治疗方法。方法：采用经尿道前列腺汽化术（TUVP）联合经尿道前列腺电切术（TURP）治疗BPH86例。结果：临床效果满意，术后6个月随访，国际前列腺症状评分平均由29．4％降为8．2分，最大尿流平均由6．4ml/s升至17．8ml/s，生活质量改善4分；残余尿量由75－500ml(19例）降至10－35ml(16例）。无严重并发症。结论：汽化和电切联合行经尿道前列腺切除术治疗BPH是两者优点的结合，临床效果好，并发症少，安全系数大，是治疗BPH的理想方法。

A study of combined transurethral resection and vaporization of the prostate as a therapeutic alternative in men with benign prostatic hyperplasia

Objective: The aim of this study was to undertake an evaluation of the efficacy of the combined transurethral vaporesection (TUVRP) and standard transurethral resection(TURP).Methods:In this study,86 patients with benign prostatic hyperplasia(BPH) aged 61-87(mean 72)yeas were undergone combined TUVRP and standard TURP. Patients were followed for 6 months with the evaluation of flow rates,post void residual urine volume,symptom scores(IPSS) and Quality of Life (QOL) score.Results:The total IPSS score, QOL score average and maximum flow rates improved significantly at 6 months postperatively. The quality of life has improved by 4 symptomatic units; the IPSS score decreased from 29.4 to 8.2 score and the Qmax was upgraded from 6.4ml/s to 17.8 ml/s;the residual urine decreased from 75-500ml(19men) to 10-35ml(16 men).Conclusions:Combined TUVRP and TURP prostatectomy was found to be effective for the treatment of bladder outlet obstruction due to BPE. In the assessment of the present procedure, we have registered a considerable improvement in the quality of life (QOL),an increase in the Qmax,and decrease in the IPSS score.