经尿道汽化电切术治疗前列腺增生的临床分析

The Combined Use of Transurethral Electro-Vaporization Ablation for BPH

目的:评价经尿道汽化电切术(TUVP)治疗前列腺增生(BPH)的疗效。方法:采用TUVP治疗BPH患者118例。结果:手术时间25min～140min,平均50min。切除前列腺组织重量10g～90g,平均28g。均无电切综合征发生。术后5d～7d拔除导尿管,排尿均通畅。68例随访6个月～2.5年,IPSS由术前28.8±2.0下降至术后6.8±0.3(P<0.01),最大尿流率由术前平均(6.0±0.4)mL/s升至术后(18.2±1.6)mL/s(P<0.01)。术后B超复查60例,18例(30%)仍有剩余尿10mL～35mL,平均16.4mL。术后继发性出血6例(5.1%),尿道狭窄4例(3.4%),暂时性尿失禁1例(0.9%)。结论:TUVP治疗BPH疗效显著,安全性高,并发症少,是治疗BPH的有效方法。

Objective:To compare the availability of the combined use of transruethral electro-vaporizationablation of the prostate(TUVP)of benign prostatic hyperplasia (BPH).Methods TUVP were concomitantly performed for 118 cases of BPH. Results:The procedure has been successful and the postoperative course uneventful in the patients. No patient esperienced TUR syndrome.All the patients got normal micturation after the urethral catheter being drawn 5d～7d later. The patients have been followed up for 1/2 to 2.5years.IPSS decreased from 28.8±2.0 to 6.8±0.3 (P<0.01). Conclusions The procedure has the TUVP and is safe with low complication. It is believed to be the ideal choice for treating BPH.