经尿道部分前列腺汽化电切术治疗高危前列腺增生症

目的探讨治疗高危前列腺增生症（BPH）安全有效的手术方法。方法对121例高危BPH患者采用联合经尿道汽化电切（TUVP）和经尿道电切（TURP）部分前列腺进行治疗。结果切除前列腺重量15～70g,平均47.5g,手术时间30～105min,平均55min,失血量80～210ml,无电切综合征（TRUS）发生,无手术死亡,术后国际前列腺症状评分（IPSS）明显下降、生活质量评分（QOL）明显提高。结论联合经尿道部分前列腺汽化电切和电切术治疗高危前列腺增生症是安全有效的手术方法。

Treatment of senior and high risk patient with benign prostatic hyperplasia by partial transurethral electrovaporization of prostate and transurethral resection of prostate

Objective To investigate the safe and effective surgical method of senior and high risk patient with benign prostatic hyperplasia （BPH）. Methods Partial transurethral eleetrovaporization of prostate （TU-VP） combined with transurethral resection of prostate（TURP） were used in 121 senior and high risk patients with BPH. Results The weight of resected tissue was 15 to 70g, average being 47.5g, the operative time was 30 to 105 rain,average being 55 min;the amount of blood loss was 80 to 210 hal. The IPSS and QOL obviously de- creased after operation. Conclusion Partial TUVP combined with TURP is safe and effective for the treatment of senior and high risk patient with BPH.