Madigan切除与经尿道电气化术治疗前列腺增生的疗效评价

[目的]评价Madigan切除术（MPC）与经尿道电气化术（TUVP）治疗良性前列腺增生症（BPH）的疗效。[方法]BPH患者166例，根据治疗方法分为MPC（61例）和TUVP（105例）两组，比较两组的手术时间，术中出血量、疗效及并发症等情况。[结果IMPC组较TUVP组平均手术操作时间长（105±15VS51±16min，P〈0．05），术中出血量多（118±32vs85±45mL，P〈0．05），两组术后症状均明显改善。术后并发症（住院期间）发生率分别为39．3％、13．3％。差异显著（P〈0．05）。[结论]MPC和TUVP疗效相似，TUVP创伤较小，并发症较少。

Comparative Study and Evaluation of Madigan Prostatectomy and Transurethral Electrovaporization Ablation Prostatectomy for the Treatment of Benign Prostatic Hyperplasia

[Objective] TO evaluate and compare the therapeutic effects of Madigan prostatectomy （MPC） and transurethral electrovaporization ablation prostatectomy （TUVP） for the treatment of benign prostatic hyperplasia （BPH）. [Methods] A total of 166 BPH patients randomly underwent. MPC（ n = 61） or TUVP（ n = 105） respectively and the therapeutic effect was evaluated. [Results] There were significant improvements in symptoms and physical signs in each group after procedure. The immediate morbidity rate was 39. 3% and 13.3%, respectively. MPC group showed longer average time for the procedure and more blood loss. [Conclusion] The therapeutic effect of TUVP is similar to that of MPC, but the trauma of MPC to the patient is more. TUVP is the safer procedure with less injure and complication.