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目的探讨经尿道汽化电切术(TUEVAP)治疗前列腺增生症(BPH)的效果。方法对104例BPH患者,施行TUEVAP术。结果手术时间30～95min,术中无1例输血,无电切综合征(TURS)发生,术后3～5d拔出导尿管,排尿通畅。随访30～90d,国际前列腺症状评分(I-PSS)由术前(28.1±2.1)分术后下降至(8.2±0.6)分(P<0.01),最大尿流率由术前的平均(5.2±0.5)ml/s,术后升至(16.4±1.7)ml/s(P<0.01)。结论 TUEVAP具有操作简单、止血效果好、并发症少、安全性高、恢复快、疗效显著等优点。
Objective To investigate the effect of transurethral vaporization (TUEVAP) on benign prostatic hyperplasia (BPH). Methods TUEVAP was performed in 104 patients with BPH. Results The operation time ranged from 30 to 95 minutes. No transfusion or TURS occurred during the operation. The catheter was removed 3 to 5 days after operation and the urination was smooth. After 30 to 90 days of follow-up, the I-PSS decreased from 8.2 ± 0.6 points before surgery to 28.2 ± 2.1 points (P <0.01), and the maximum urinary flow rate decreased from 5.2 ± 0.5) ml / s and increased to (16.4 ± 1.7) ml / s postoperatively (P <0.01). Conclusion TUEVAP has the advantages of simple operation, good hemostatic effect, less complications, high safety, quick recovery and significant curative effect.