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目的 探讨经尿道气化电切术(TUVRP)联合电切(TURP)治疗重度前列腺增生症的临床价值。方 法 本组68例均为重度前列腺增生症患者(>50g),经围术期准备行(TUVRP)联合电切(TURP)治疗。结果 均 顺利承受手术,术后48～120h拔除导尿管,均排尿通畅,随访3个月～1年,平均IPSS由术前30.5分降至术后7 分,最大尿流率(Qmax)从6.50ml/s升至术后18ml/s,残余尿由术前220ml降至术后15ml,术后暂时尿失禁3例 (3.8%),伴发出血2例(2.6%),尿道口狭窄2例(2.6%)。结论 TUVRP联合TURP治疗重度BPH,安全、可 靠、有效。
Objective To investigate the clinical value of transurethral electrovaporization (TUVP) combined with electrotome (TURP) in the treatment of severe benign prostatic hyperplasia. Methods 68 cases of this group were patients with severe benign prostatic hyperplasia (> 50g), perioperative preparation line (TUVRP) combined with electrotome (TURP) treatment. The results were successfully undergone surgery, catheter removed after 48 ~ 120h, were voiding patency, followed up for 3 months to 1 year, the average IPSS dropped from 30.5 preoperative 7 points after surgery, the maximum flow rate (Qmax) from 6.50ml / s rose to postoperative 18ml / s, residual urine decreased from 220ml preoperatively to 15ml postoperatively, 3 cases (3%) had transient urinary incontinence, 2 cases had bleeding (2.6%), urethral stenosis Example (2.6%). Conclusion TUVRP combined with TURP in the treatment of severe BPH is safe, reliable and effective.