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目的 总结和评价经尿道前列腺电切术 (TURP)、经尿道前列腺气化切除术 (TUVP)治疗良性前列腺增生症 (BPH)的疗效。方法 采用铲式气化切割环和电切环 ,经尿道切除前列腺2 0 1 2例。结果 TURP组 :最大尿流率 (MFR)由术前 (7 3± 3 5)ml/s到术后 (1 8 1± 3 1 )ml/s ;国际前列腺症状评分 (IPSS)由 2 9 5± 3 6到 8 7± 3 2 ;生活质量评分 (QOL)由 5 2± 0 3到 1 7± 0 4;术中前列腺包膜穿孔 2例 ,术后前尿道狭窄 7例 ,后尿道狭窄 4例 ,术后死亡 3例 ,无经尿道电切(TUR)综合征。TUVP组 :MFR由术前 (7 7± 3 8)ml/s到 (1 7 9± 3 2 )ml/s;IPSS由 2 9 3± 3 7到9 1± 2 9;QOL由 5 5± 0 3到 1 9± 0 3 ;术中前列腺包膜穿孔 2例 ,术后尿失禁 2例 ,前尿道狭窄1 7例 ,后尿道狭窄 7例 ,无TUR综合征及死亡病例。结论 TURP和TUVP治疗BPH创伤小、出血少、疗效好、术后恢复快。只要熟练掌握 ,两者临床疗效相同。TURP适合前列腺体积小于 40 g的BPH而TUVP则适合大于 40g的BPH。
Objective To summarize and evaluate the efficacy of transurethral resection of the prostate (TURP) and transurethral vaporization of the prostate (TUVP) in the treatment of benign prostatic hyperplasia (BPH). Methods The shovel gasification cutting ring and electric cutting ring were used to transurethral resection of the prostate to 202 cases. Results In the TURP group, the maximum flow rate (MFR) ranged from 73 ± 3.5 ml / s preoperatively to postoperatively (181 ± 31) ml / s; the International Prostate Symptom Score (IPSS) ± 3 6 to 8 7 ± 3 2; Quality of Life Scale (QOL) ranged from 52 ± 0 3 to 1 7 ± 0 4; perforation of prostatic capsule in 2 cases, postoperative anterior urethral stricture in 7 cases, posterior urethral stricture in 4 Cases, 3 patients died after surgery, no transurethral resection (TUR) syndrome. TUVP group: MFR from preoperative (7 7 ± 3 8) ml / s to (1 7 9 ± 3 2) ml / s; IPSS from 2 9 3 ± 3 7 to 9 1 ± 2 9; QOL from 5 5 ± 0 3 to 1 9 ± 0 3; 2 cases of prostate capsule perforation, 2 cases of postoperative urinary incontinence, 17 cases of anterior urethral stricture and 7 cases of posterior urethral stricture without TUR syndrome and death. Conclusion TURP and TUVP treatment of BPH trauma, less bleeding, good effect, fast recovery. As long as the mastery, both the same clinical efficacy. TURP is suitable for BPH with prostate volume less than 40 g and TUVP is for BPH greater than 40 g.