经尿道气化电切术治疗前列腺增生症(附331例报告)

Transurethral vapor-tome of benign prostatic hyperplasia(report of 331cases)

目的:探讨经尿道前列腺气化电切术(TUVP)治疗前列腺增生症(BPH)的临床价值.方法:对331例BPH行TUVP,手术时间20～110min,平均60min;切除组织估重15～90g,平均37g.结果:均成功完成手术.除9例巨大增生腺体者外,均未输血.无电切综合症发生.术后298例随访1～36个月.IPSS由术前平均26分下降至平均7分,QOL由术前平均4.5分降至平均1.5分,Qmax由术前平均9.0ml/s 升至平均18.6ml/s.结论:TUVP疗效确切,并发症少,安全性高,可作为BPH的优选治疗方法.

Subject To study the clinical value of the transurethral vaporization to the benign prostatic hyperplasia. Methods 331 BPH eases were treated by TUVP, total operation course was 20mins～ 110mins and the mean time was 60mins, the tissue weighted about 15g～90g, and the mean was 37g. Results All the eases were performed sucoessfully by the TUVP and no blood transfusion but 9 cases super benign prostatic hyperplasia and no transurethral resection,syndrcs-nes happened also. 298 eases were followed- up about 1～36months. The mean IPSS was decreased from 26 to 7, the QOL was decreased from 4.5 to 1.5 while the Qmax was increased from 9.0ml/s to 18.6ml/s. Conclusions The treatment efficacy of TUVP was confirmed, and should be the first choice to the benign prostatic hyperplasia for its high security and less complications.