目的　探讨高危前列腺增生症 (BPH)患者的有效手术方法。方法　采用经尿道前列腺气化术(TVP)结合电切术 (TURP)治疗高危 BPH患者 10 7例。结果　平均手术时间 5 6 m in,平均失血量 90 ml,均未输血 ,无 TURS发生。 89例术后随访 3个月至 2年 ,国际前列腺症状评分 (IPSS) ,由术前 2 6 .8± 5 .9分术后降至 8.7± 4 .3分 (P<0 .0 0 1)。最大尿流率 (Qmax)由术前 5 .0± 4 .2 ml/ s,术后升至 16 .2± 4 .5 m l/ s (P<0 .0 0 1)。剩余尿量(PUR)由术前 137.6± 5 4 .9ml术后降至 2 1.8± 16 .1ml(P<0 .0 0 1)。结论　TVP结合 TURP安全性高、并发症少、效果确切 ,只要处理方法得当 ,适合高危 BPH患者 Objective To explore effective surgical methods for patients with high-risk benign prostatic hyperplasia (BPH). Methods A total of 107 high-risk BPH patients were treated with transurethral vaporization of the prostate (TVP) combined with electrotomy (TURP). Results The mean operation time was 56 mins and average blood loss was 90 ml. No blood transfusion or TURS occurred. Eighty-nine patients were followed up for 3 months to 2 years. The International Prostate Symptom Score (IPSS) decreased from 8.76 ± 5.9 after surgery to 8.7 ± 4.3 (P0.001) ). The maximum flow rate (Qmax) increased from 5.0 ± 4.2 ml / s preoperatively to 16.2 ± 4.5 ml / s postoperatively (P <0.01). The residual urine volume (PUR) decreased from 137.6 ± 54.9 ml preoperatively to 21.8 ± 16.1 ml (P <0.01). Conclusion TVP combined TURP high safety, fewer complications, the exact effect, as long as the proper treatment, suitable for high-risk BPH patients