经尿道电汽化术结合电切术治疗高龄高危前列腺增生症

Treatment of senior and high-risk benign prostatic hyperplasia by transurethral electrovaporization and prostate resection

目的总结高龄高危良性前列腺增生症(benign prostatic hyperplasia,BPH)患者经尿道电汽化术结合电切术的临床治疗经验。方法联合应用经尿道前列腺电汽化术(transurethral electrovaporization of the prostate,TUVP)和经尿道电切术(transurethral resection of the prostate,TURP)治疗高危、高龄(年龄>70)BPH患者126例。结果所有患者术后随访1个月～1年,排尿功能恢复满意。国际前列腺症状评分(I-PSS)、生活质量评分(QOS)、最大尿流率(Qmax)等方面有显著改善(P<0.01)。且无严重并发症出现。结论年龄在70岁以上伴有心肺、脑肾等重要脏器合并症的高危BPH患者,经TUVP联合TURP治疗,具有出血少,安全性高,并发症少,疗效确切等优点。是高龄高危BPH患者最佳选择的治疗方法。

[Objective] To summarize the clinical therapeutic experience of transurethral electrovaporization and resection of prostate in the treatment of senior and high-risk BPH. [Methods] Transurethral electrovaporizatlon of the prostate （TUVP） and transurethral resection of the prostate （TURP） were used in 126 cases of senior and highrisk benign prostatic hyperplasia （BPH）. [Results] All patients were followed up for one month to one year postoperatively with satisfactory function of urination. It was found that the intemational prostate symptom score （IPPS）, the associated quality-of-life score （QOS）, and the maximum urinary flow rate （Qmax） were significantly improved （P 〈 0.01） without serious complications. [Conclusion] Patients over 70 years old suffered from high risk BPH with severe complications in heart, lung, brain and kidney are treated by TUVP combined with TURP. This therapeutic strategy has advantages in less bleeding, more safety, less complications and definite effects. TUVP combined with TURP is the best choice of treatment for senior and high-risk BPH.