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目的 分析前列腺光选择性汽化术(PVP)+经尿道前列腺电切除术(TURP)治疗大体积前列腺的疗效和安全性.方法 良性前列腺增生症(BPH)167例,体积100～186(136.1±31.6)ml.手术先行TURP术,再行PVP术.结果 本组手术时间35～78(46±7.9)min,术中均未输血,术后留置导尿管1.5～2.5 d.126例术后随访1～3个月,国际前列腺症状评分(IPss)术后1个月由术前(24.9±2.0)分下降至(12.3±3.1)分(P<0.01),最大尿流率(Qmax)由术前(8.9±2.6)ml/s上升至(19.6±2.2)ml/s(P<0.01).结论 TURP+PVP对大体积BPH是一种安全、有效、恢复快、操作简单的腔内治疗方法 .“,”Objective To analyze the effect and safety of photoselective vaporization of the prostate (PVP) and transurethral resection of the prostate (TURP) for the treatment of larger prostate. Methods A total of 167 BPH patients with the prostate volume 100-186(136. 1±31. 6) ml was firstly treated by TURP and then operated by PVP. Results The operation time was 35-78(46± 7. 9) min. There was no case of blood transfusion. The indwelling time of catheter was 1. 5-2. 5 d after operation. At one-month follow-up, the mean I-PSS decreased from (24. 9±2. 0) scores to (12. 3 ± 3. 1) scores (P<0. 01), while the Qmax increased from (8. 9±2. 6) ml/s to (19. 6±2. 2) ml/s (P< 0. 01). Conclusion The combination of PVP and TURP is a safe, effective and simple intracavitary procedure for the treatment of larger BPH with less pain and quicker recovery.