经尿道前列腺电气化术结合电切术治疗前列腺增生83例分析

Transurethral Vaporization and Resection of the Prostate for the Treatment of Benign Prostatic Hyperplasia(Report of 83 cases)

目的：探讨经尿道前列腺电气化术结合电切术治疗前列腺增生（BPH）并提高其安全性及有效性。方法：使用德国WOLF F24连续冲洗气化电切镜对83例BPH患者进行了经尿道前列腺电气化术加电切术治疗。结果：平均手术时间69min,无尿失禁和死亡病例,术后随访3～36个月,国际前列腺症状评分平均9.4分,残余尿量平均为21.7ml。结论：先用铲状气化切割圈切除增生的大部分前列腺组织,并进行快速、有效的止血,再用电切环修切,可快速切除增生的前列腺组织,安全有效,并发症少,值得广泛推广。

Objective： To study the safety and effect of vapor- ization of the prostate （TVP） and transurethral resection of the prostate（TURP） in the treatment of BPH. Methods： 83 cases of BPH were treated by TVP, Continuous irrigation resectoscope was used to perform transurethral vaporization and resection of the prostate, Results：Mean operative time was 69 min. There was no urinary incontinence and death in this group, IPSS decreased to 9.4 points, residual urine decreased to 21.7 ml at 3 - 36 months following transurethral surgery. Conclusion：Combined transurethral vaporization and resection could remove hyperplastic prosatic tissue quickly and with less complication,