经尿道电汽化术治疗前列腺增生症

Transurethral electrovaporization of benign prostatic hyperplasia

目的 评价经尿道前列腺电汽化手术 (TVP)治疗前列腺增生症的疗效。方法 总结TVP治疗随访 6个月以上 14 2 0例前列腺增生症病人的安全性、有效性和疗效。结果 平均手术时间为 52min ,出血量平均 78ml,术后不需膀胱持续冲洗 ,平均留置导尿管时间 40 7h ,最大尿流率由术前的 8 7ml/s上升至术后 3个月的 19 7ml/s和 6个月的 2 0 3ml/s。前列腺症状评分术前为 2 2 3 ,术后 3个月降低至 6 8以及 6个月时的 6 0 (P <0 0 0 1)

Objective To evaluate the cur at ive effect of transurethral electrovaporization of the prostate(TVP).Met hods A total of 1420 cases were followed up for at least 6 months and the safety and efficacy were reviewed including intra and post operative compli cations and results.Results Clinical efficiency of TVP was very satisfactory in all cases.The mean operative time was 52 min and the mean volum e of bleeding was 78ml.The mean catheterization time was 40.7h and the mean post operative hospital stay was 2.5 days.Peak urine flow increased from 8.7ml/s befo re operation to 19.7ml/s after operaton,20.3ml/s 6 months later IPSS decreased f rom 22.3 before operation to 6.8,6.0 at 3 and 6 months postoperatively respectiv ely(P<0.001).Conclusion TVP is a safe and effe ctive surgical treatment for benign prostate hyperplasia with very satisfactory results.