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目的 探讨良性前列腺增生症 (BPH)的有效治疗方法。 方法 采用经尿道前列腺汽化电切 (TUEVAP)加经尿道前列腺电切术 (TURP)联合治疗BPH患者 2 5 6例。 结果 手术时间2 0～ 12 5min ,平均 6 2min。 2 9例 (11.3% )术中需输血 2 0 0～ 6 0 0ml,均为Ⅲ°增生者。切除前列腺组织重量 8～ 12 0 g ,平均 38g。无电切综合征发生。术后 3～ 5d拔除导尿管 ,排尿均通畅。 180例随访6个月～ 2年 ,IPSS由术前 2 8.8± 2 .0下降至术后 7.2± 0 .3(P <0 .0 1) ,最大尿流率由术前平均 (5 .1± 0 .4)ml/s升至术后 (16 .7± 1.8)ml/s(P <0 .0 1)。B超复查 12 4例 ,38例 (30 .7% )仍有剩余尿 10～ 40ml,平均 18.2ml。术后继发性出血 12例 (4 .7% ) ,尿道狭窄 8例 (3.1% ) ,暂时性尿失禁 3例(1.2 % )。 结论 TUEVAP加TURP联合治疗BPH可综合两者的优点 ,疗效显著 ,并发症少 ,安全性高 ,是治疗BPH的有效方法。
Objective To investigate the effective treatment of benign prostatic hyperplasia (BPH). Methods Ture of transurethral electrovaporization of the prostate (TUEVAP) combined with transurethral resection of the prostate (TURP) was used to treat 256 cases of BPH. Results The operation time was 20 ~ 125min with an average of 62min. In 29 cases (11.3%), intraoperative blood transfusion was 200 ~ 600ml, all of whom were Ⅲ ° hyperplasia. Prostate resection of the weight of 8 ~ 12 0 g, an average of 38g. No cut-off syndrome occurs. 3 ~ 5d after removal of the catheter, urination are smooth. 180 patients were followed up for 6 months to 2 years, IPSS decreased from 2 8.8 ± 2.0 before operation to 7.2 ± 0.3 after operation (P0.01) ± 0.4) ml / s to (16.7 ± 1.8) ml / s after operation (P <0.01). B-ultrasound 12 4 cases, 38 cases (30.7%) still have residual urine 10 ~ 40ml, an average of 18.2ml. Postoperative secondary bleeding in 12 cases (4.7%), urethral stricture in 8 cases (3.1%), temporary urinary incontinence in 3 cases (1.2%). Conclusion TUEVAP combined with TURP combined treatment of BPH can combine the advantages of both, significant effect, less complications, high safety, is an effective method of treatment of BPH.