经尿道前列腺气化并电切术治疗前列腺增生

目的探讨经尿道气化切割(TUVRP)加电切术(TURP)治疗良性前列腺增生症(BPH)的疗效。方法采用TUVRP加TURP对60例BPH患者联合治疗。结果术后排尿功能恢复良好,术后3～24个月时随访,国际前列腺症状评分(IPSS)平均8.4分,最大尿流率(MFR)平均18.5ml/s,60例B超剩余尿量平均为16ml。术中发生电切综合征1例,输血1例,膀胱颈后尿道狭窄l例,术后假性尿失禁1例。结论TUVRP加TURP是治疔BPH的有效方法,出血少,安全。

Objective To study the effect of combined use of transurethral electrovaporization of the prostate （TUVRP） and Transurethral resection of the prostate （TURP） in treatment of benign prostatic hypexplasia （BPH）. Methods 60 cases were treated by TUVRP Combined with TURP.Results All of the cases were followed up for 3 or 24 months, vcfiding function recovered very well. The average of IPSS was 8.4, the average of maximum uroflowmetry was 18.5 ml/s,and the average of residual urine was 16 ml in 60 cases.the number of TUR syndrome occurred was 1,1 patien was transfused in operation, bladder neck and urethral stricture was 1 case, 1 false incontinence was found after the operation.Conclusion Our results suggest that combination of TUVRP and TURP is effective method for treatment of BPH with less bleeding and safety.