经尿道前列腺电切气化术治疗前列腺增生568例报告

Combined electro-vaporization and transurethral resection of prostate for the treatment of BPH patients (Report of 568 cases)

目的 :进一步探讨前列腺增生 (BPH)的有效手术新方法。方法 :采用经尿道前列腺电切术和气化术治疗BPH患者 5 6 8例。结果 :疗效满意 ,术后 3～ 6个月随访 ,国际前列腺症状评分 (IPSS) 8.5± 1.5分 ;最大尿流率 (Q max) 2 0 .5± 4 .5ml s,剩余尿量 2 9.1± 14 .2ml,未出现严重并发症。结论 :将电切和气化相结合行经尿道前列腺切除术是一种安全性高、并发症少、疗效确切的新手术方法 ,具有操作易掌握、出血少、速度快、安全可靠等优点。

Purpose:To study the effective treatment for benign prostatic hyperplasia (BPH).Methods:Clinical data of 568 cases of patients with BPH treated with transurethral resection and transurethral vaporization of the prostate were analyzed.Results:The general results were satisfactory. Followed up for 6 months, the average of IPSS was 2.5 ± 1.5 ,the average of Qmax was 20.5 ± 4.5 ml/s, and the average of residual urine was 29.1 ± 14.2 ml. There were no serious complications observed.Conclusions:Our results showed that the combination of transurethral resection with vaporization of the prostate was a safe and effective method for transurethral ressction of BPH with less complications. It has the advantages of easy operation, less bleeding, safety, reliability and time saving.