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目的探讨经尿道汽化与电切联合治疗良性前列腺增生症（ＢＰＨ）的临床效果。方法观察术中出血量、手术时间、电切综合症，比较手术前后前列腺症状评分（ＩＰＳＳ）、生活质量（ＱＯＬ）、最大尿流率（Ｑｍａｘ和术中、术后并发症。结果本组 ４５例．平均年龄 ６９岁，病程 ６年．平均手术时间 ６０ ｍｉｎ，术中出血 ５０ ｍｌ，术后留置导尿管 ３～７ｄ，术后ＩＰＳＳ、ＱＯＬ、Ｑｍａｘ明显改善，电切综合征ＴＵＲＳ １例（２．２％）．３例前列腺癌（６．６％）术后情况良好。结论 经尿道汽化和电切联合治疗是解除膀胱出口梗阻有效而安全的方法．
Objective To investigate the clinical effect of combined transurethral vaporization and electrosurgical treatment of benign prostatic hyperplasia (BPH). Methods The intraoperative blood loss, operation time, resection syndrome, preoperative and postoperative prostate symptom score (IPSS), quality of life (QOL), maximum flow rate (Qmax) and intraoperative and postoperative complications were observed.Results The group 45 The average age was 69 years and the course of disease was 6 years.The mean operative time was 60 minutes, the intraoperative bleeding was 50 ml, the postoperative urethral catheter was placed for 3 ~ 7 days, the IPSS, QOL and Qmax were significantly improved after operation, and one case of TURS (2.2%) .Three cases of prostate cancer (6.6%) were in good condition after operation.Conclusion Transurethral vaporization combined with resection of the prostate is an effective and safe method to relieve bladder outlet obstruction.