经尿道电气化术联合电切术治疗前列腺增生症162例

The Combined Application of Transurethral Electrovaporization Ablation and Transurethral Prostatectomy for BPH(Report of 162 cases)

目的：探讨创伤小，疗程短，更安全而有效治疗良性前列腺增生症（BPH）的方法。方法：联合应用经尿道前列腺电气化术（TUVP）和经尿道前列腺电切术（TURP）治疗BPH患者162例。结果：本组手术时间短，平均52．4min，术中出血量少，96％术中术后无需输血。无死亡病例及严重并发症。近期排尿顺畅。6个月～2年抽样随访，国际前列腺症状评分（IPSS）由术前（29．4＋1．8）分降至术后（6．8＋1．4）分。疗效满意。结论：本组病例证实TUVP结合TURP治疗BPH，其操作方法简易，微创，安全，疗效可靠。

Objective. To evaluate a less trauma,more safety and more effective method to treat benign prostatic hyperplasia （BPH）. Methods： Combined electrovaporization and transurethral resection of the prostate （TUVP and TURP）were taken for 162 cases. Results： The duration of the opration was short, mean time was 52.4 min. The bleed loss during operation was low, only 7 cases required 400 ml. Transfusion during or after the operation. There is no fatal case and no severe complications. The micturation post - operation was normal, IPSS decreased from（29.4 ＋ 1.8）to （6.8 ＋ 1.4）. Conclusions：Combined electralvaporization and transurethral resection of the prostate for BPH is more easy then traditional operation, less trauma and more safety. The curative effect is obvious with low blood loss and complications.