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目的:提高高危高龄前列腺增生症患者经尿道手术疗效的方法。方法:对100例前列腺增生症(BPH)患者联合应用经尿道前列腺汽化术(TUVP)和经尿道前列腺电切术(TURP)对前列腺组织分阶段切除。结果:于手术第一阶段结束15例,第二阶段28例。第三阶段57例。手术时间平均57分钟,收集标本平均27.4g,术中平均出血量108ml,随访6个月～5年,国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)均有明显改善,P<0.01。结论:采用TURP与TUVP联合分阶段治疗高危高龄前列腺增生症是一种安全有效的方法。
Objective: To improve the efficacy of transurethral surgery in patients with benign prostatic hyperplasia at high risk. Methods: Prostate tissue was excised in 100 cases of benign prostatic hyperplasia (BPH) in combination with transurethral vaporization of the prostate (TUVP) and transurethral resection of the prostate (TURP). Results: The first stage of surgery in 15 cases, the second stage in 28 cases. The third phase of 57 cases. The average operation time was 57 minutes, the average number of collected samples was 27.4g, the mean intraoperative blood loss was 108ml. The follow-up ranged from 6 months to 5 years. The scores of International Prostate Symptom Score (IPSS), Quality of Life Score (QOL) and Maximum Urine Flow Rate Significant improvement, P <0.01. Conclusion: TURP combined with TUVP in the treatment of high-risk benign prostatic hyperplasia is a safe and effective method.