经尿道前列腺电气化术结合电切术治疗前列腺增生80例分析

Transurethral vaporization and resection of the prostate for the treatment of benign prostatic hyperplasia(Report of 80 cases)

目的 :提高经尿道电气化术和电切术治疗前列腺增生 (BPH)的安全性和有效性。方法 :对 80例BPH患者采用美国CIRCONACMIF2 5.6 气化电切镜行经尿道前列腺电气化加电切术治疗。结果 :平均手术时间70min ,无尿失禁和死亡病例 ,2例输血。术后随访 1～ 1 7个月 ,国际前列腺症状评分 8分 ,最大尿流率 1 4 .5ml/s。结论 :应用铲状电极气化切割和电切环修切 ,可快速去除增生前列腺组织 ,安全有效 ,并发症少 。

Purpose:To improve the safety and effect of vaporization of the prostate (TVP) and transurethral resection of the prostate(TURP) in the treatment of BPH. Methods:80 cases of BPH with the age of 58 to 92 years old, were treated by TVP. Continuous irrigation resectoscope was used to perform transurethral vaporization and resection of the prostate. Results:Mean operative time was 70 min. There was no urinary incontinence and death in this group. Two cases needed transfusion. IPSS decreased to 8 points and Qmax increased to 14.5 ml/s at 1 to 17 months following transurethral surgery.Conclusions:Combined transurethral vaporization and resection could remove hyperplastic prostatic tissue quickly and safely and with less complication.