经尿道前列腺电汽化术治疗良性前列腺增生症

Transurethral Electrovaporization of the Prostate for the Management of BPH

目的:探讨采用经尿道前列腺电汽化术(TVP)治疗良性前列腺增生症(BPH)的效果。方法:分析236例BPH经TVP治疗前后的临床资料。结果:平均手术时间56分钟,所有患者拔管后排尿通畅。国际前列腺疾病评分(IPSS)由27·7±3·5分降至7·3±2·1分,生活质量评分(QOL)由4·8±1·5分降至1·4±0·8分,最大尿流率(MFR)由5·2±3·2ml/s上升至18·3±4·3ml/s,平均尿流率(AFR)由3·4±2·1ml/s上升至14·2±4·8ml/s,膀胱残余尿(RU)由143±21·8ml减少到36±7·9ml。结论:TVP治疗BPH效果显著,创伤小,出血量少,术后恢复快,安全性高,并发症低,是理想的治疗方法之一。

Objective： To investigate the therapeutic results of benign prostate hyperplasia （BPH） by transurethral electrovaporization of prostate （TVP）, Method： Analysis of the clinical data of 236 cases of BPH were treated by-TVP in front and back.Result： The mean operation time was 56min, and all cases free urination after the removal of the catheter. International prostate symptom score （ I - PSS） dropped from 27.7±3.5 percentages cents betore the procedure to 7.3 ± 2.1 percentages postoperative- ly, and quality of life （QOL） from 4.8 ± 1.5 cents to 1.4 ± 0.8 cents. Maximum flow rate （MFR） increased from 5.2 ± 3.2ml/s to 18.3 ± 4.3ml/s, and average flow rate （AFR） from 3.4 ± 2. 1ml/s to 14.2 ± 4.8ml/s. Residual urine （RU） reduced from 143 ± 21.8ml/s to 36 ± 7.9ml/s. Conclusion： TVP was an effective method to treat BPH. It was safe with simple and less trauma, less bleeding, few complications and quicker recovery.