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采用经尿道前列腺气化术(TUVP)治疗良性前列腺增生症(BPH)患者26例。结果26例患者手术均成功,手术时间为15~60min,灌洗液量为5000~9000ml;术中心电图、血压无改变;术中、术后患者均未输血。24例术后持续行膀胱点滴冲洗36~72h,冲洗液均清亮。术后随访14~21d,IPSS评分为11.24±1.16;随访21~108d,平均75d,无任何并发症。文中对TUVP的手术特点、适应证及注意事项进行了详细的讨论。认为TUVP治疗BPH近期效果好,其远期疗效有待进一步随访观察。
Twenty - six benign prostatic hyperplasia (BPH) patients were treated with transurethral vaporization of the prostate (TUVP). Results All the 26 patients were operated successfully. The operation time was 15-60 minutes and the volume of lavage fluid was 5000-9000ml. There was no change of intraoperative electrocardiogram and blood pressure. No intraoperative or postoperative blood transfusion was performed. Twenty-four patients continued bladder flushing for 36 to 72 hours after operation, and the irrigant was clear. All the patients were followed up for 14-21 days. The IPSS score was 11.24 ± 1.16. The follow-up ranged from 21 to 108 days, with an average of 75 days without any complications. In this paper, the characteristics of TUVP surgery, indications and precautions were discussed in detail. TUVP that the recent treatment of BPH effect, its long-term efficacy needs further follow-up observation.