经尿道汽化切割并电切治疗良性前列腺增生178例临床分析

Combined use of transurethral vaporization of prostate and transurethral resection of prostate for the treatment of benign prostatic hyperplasia:A report of 178 cases

目的:探讨良性前列腺增生症(BPH)的有效治疗方法。方法:对178例BPH行TUVP结合TURP术。结果:手术时间40～130min,平均67min;5例发生轻度TURS,3例术中输血,术后平均拔管时间为4.4d(1～6d),术后随访3～36个月,国际前列腺症状评分(IPSS)由术前(32.4±3.8)分降至术后的(7.3±1.8)分(P<0.01),最大尿流由术前(6.3±1.4)ml/s升至术后的(20.2±2.5)ml/s(P<0.01)。结论:TUEVP和TURP联合治疗BPH,并发症少,安全性高,患者康复快,疗效显著是治疗BPH值得选择的方法。

Objective：To evaluate the effect of combined use of transurethral vaporization of prostate（TUVP） and transurethral resection of the prostate（TURP） in the treatment of benign prostatic hyperplasia（BPH）. Methods：TUEVP and TURP were concomitantly perfomed in 178 cases of BPH.Results：The mean operation time was 67 minutes （40 to 130min）.Postoperatively,transurethral resection syndrome（TURS） occurred in five case,three cases needed blood transfusion during the operation,The mean catheterization time was 4.4 days（1 to 6 days）,The peak flow rate increased from （6.3±1.4）ml/s to （20.2±2.5）ml/s （P〈0.01）,and the IPSS decreased from （32.4±3.8） to （7.3±1.8） （P〈0.01） during 3 to 36 months.Conclusion：TUEVP combined with TURP is safe and effective method,with fewer complications and less influence on physiological function to treat BPH.