电切汽化治疗前列腺增生157例报告

目的:探讨经尿道电切汽化术(TUEVAP)治疗前列腺增生症(BPH)的效果。方法:为前列腺增生症157例患者施行TUEVAP术。结果:手术时间30~120m in,平均60m in,术中无1例输血,4例轻度TURS,术后1~4d拔除导尿管,排尿均通畅,随访3~30个月,IPSS由术前(28.2±1.8)降至术后的(7.5±0.4)(P<0.01),最大尿流由术前的平均(5.0±0.5)m l/s,升至术后的(18.5±2.7)m l/s(P<0.01)。结论:TUEVAP操作简单,腺体切除量大,止血效果好,并发症少,安全性高,患者康复快,疗效显著。

Transurethral electro-vaporization-ablation in treatment of prostatic hyperplasia for 157 patients

Objective:To evaluate the effect of transurethral electro-vaporization-ablation of the prostate(TUEVAP)in treatment of benign prostatic hyperplasia(BPH).Methods:TUEVAP was perfomed in 157 cases of BPH.Results:The mean operation time was 60 minutes(30 to 120min).No one needed blood transfusion during the operation.Postoperatively,transurethral resection syndrom occurred in 4 cases.The mean catheterization time was 3 days(1 to 4 days).The peak flow rate increased from(5.0±0.5)ml/s to(18.5±2.7)ml/s(P<0.01),and the IPSS decreased from(28.2±1.8)to(7.5±0.4)(P<0.01) during 3 to 30 months.Conclusions:TUEVAP embodies the advantages of both TURP and TVP with less complaint and quicker recovery.