经尿道电汽化并用电切术治疗前列腺增生症

目的　探讨前列腺增生症 (BPH)更为有效的腔内手术治疗方法。方法　采用经尿道前列腺汽化电切 (TUVP)并用电切术 (TURP)治疗BPH患者 94例。结果　 91例排尿通畅 ,另 3例继续留置尿管 3～ 5d后排尿正常。术后平均 3～ 5d出院。经 3个月至 1年的随访 ,IPSS由术前 2 7 8± 2 5分 ,降至术后 7 8±0 3分 (P <0 0 1) ,MFR由术前平均 6 4± 1 8ml/s ,术后增加为 17 5± 2 5ml/s。B超测残余尿 (R)术前平均15 0± 2 4 5ml,术后平均为 19 5ml。结论　经尿道电汽化并用电切术治疗BPH取两者的优点 ,手术安全、顺利 ,创伤小 ,并发症少 ,且疗效显著。是目前治疗BPH最为有效的方法

The combined use of transurethral electrovaporization and transurethral prostatectomy for benign prostatic hyperplasis(BPH)

Objective To study the availability in the treatment of BPH.Methods Transurethral electrovaporization of the prostate(TVP) and transurethral prostatectomy(TURP) were concomitantly performed for 94 cases of BPH.Results 91 cases got normal micturation.3 cases got normal micturatino after the urethral catheter being drawn 3～5 day later.The mean time being in hospital was 3～5 days.All the patients have been followed up for 3 to 12 months.IPSS decreased form 27.8±2.5 to 7.8±0.3(P<0.01) and MFR increased form 6.4±1.8ml/s to 17.5±2.5ml/s.Bus examined bladder's residual urine decreased from 150±24.5ml to 19.5ml.One patients had post operative bleeding because the trachitis.Conclusion The procedure has the advantages of both TVP and TURP and is safe with low complication.It is believed to be the ideal choice for treating BPH.