TUVP与TURP联合应用治疗良性前列腺增生

Combined Use of TUVP and TURP for Treating BPH (Report of 179 Cases)

目的 :探讨治疗良性前列腺增生 (BPH)的有效方法。 方法 :联合应用经尿道前列腺电汽化术 (TUVP)与经尿道前列腺电切术 (TURP)治疗BPH 179例病人。 结果 :179例病人住院时间 6～ 12d ,平均 5 .5d。术后随访 6～ 36个月。国际前列腺症状评分 (IPSS)由术前的 2 9.0分下降到 7.6分 (P <0 .0 5 ) ;最大尿流率 (Qmax)从术前的 5 .81ml/s上升到 14 .8ml/s(P <0 .0 5 )。 结论 :联合应用TUVP与TURP治疗BPH是安全、有效的方法。

Objective: To investigate a new operation method for the treatment of benign prostate hyperplasia(BPH). Methods: One hundred and seventy nine patients with BPH were treated by the combined use of transurethral electrovaporization ablation of the prostate(TUVP) and transurethral resection of the prostate(TURP). Results: The procedure was successful and the results were satisfatory, with little bleeding and no serious complication. IPSS decreased from 29.0 preoperatively to 7.6 postoperatively ( P < 0.05 ) and Q max increased from 5.8 ml/s preoperatively to 14.8 ml/s postoperatively( P < 0.05 ). Conclusions: The combined use of TUVP and TURP is a safe, effective and ideal method for the treatment of BPH.