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目的 评价经尿道前列腺电汽化术 (TVP)。方法 对我院以TVP治疗的 30 0例BPH患者进行随访。病人年龄 5 4～ 88岁 ,平均 71.5岁 ;前列腺重 2 0～ 138g ,平均 (47.3± 35 .6 )g。均有手术适应证。 结果 手术平均时间为 (36± 19)min ,2 44例 (82 .3 % )术中出血在 5 0ml以内 ,无TUR综合征。术后 1～ 4d拔除尿管。随访 6个月 ,PFR、IPSS和QOL显著改善。有 2 3例(7.7% )出现暂时性尿失禁 ,2周至 3个月恢复。 6 0 /78例 (77% )逆行射精。结论 TVP极有可能是取代TURP成为BPH的理想手术方式
Objective To evaluate transurethral electrovaporization of the prostate (TVP). Methods Thirty BPH patients treated with TVP in our hospital were followed up. Patients aged 54 to 88 years old, with an average of 71.5 years old; prostate weight 20 ~ 138g, an average of (47.3 ± 35.6) g. All have surgical indications. Results The average operation time was (36 ± 19) min, and 44 cases (82.3%) had intraoperative bleeding less than 50 ml without TUR syndrome. 1 ~ 4d after removal of the catheter. After 6 months of follow-up, PFR, IPSS and QOL improved significantly. There are 23 cases (7.7%) of temporary urinary incontinence, 2 weeks to 3 months recovery. 6 0/78 (77%) retrograde ejaculation. Conclusion TVP is very likely to replace TURP BPH become the ideal surgical approach