目的探讨经尿道前列腺电汽化术(TUVP)治疗晚期前列腺癌所致尿道梗阻的效果。方法对30例晚期前列腺癌患者行经尿道前列腺电汽化术及去势术治疗。结果本组行TUVP切除前列腺组织15~60 g,平均(25.7±8.5)g。手术时间30~120 min,平均45 min。术后均一次性解除后尿道梗阻。30例患者拔管后均能自行排尿。手术前后最大尿流率、残余尿、国际前列腺症状评分(IPSS)评分及生活质量评估各参数值比较,P<0.05。结论经尿道电汽化前列腺切除术可解除前列腺癌所致膀胱出口梗阻,提高患者生存质量。 Objective To investigate the effect of transurethral electrovaporization of the prostate (TUVP) on urethral obstruction caused by advanced prostate cancer. Methods Thirty patients with advanced prostate cancer underwent transurethral vaporization and transurethral resection of the prostate. Results TUVP prostatectomy in this group of 15 ~ 60 g, an average of (25.7 ± 8.5) g. The operation time was 30 to 120 minutes with an average of 45 minutes. Postoperative one-time lifting of the urethral obstruction. Thirty patients were able to urinate spontaneously after extubation. Before and after surgery, the maximum urinary flow rate, residual urine, International Prostate Symptom Score (IPSS) score and quality of life parameters were compared, P <0.05. Conclusion Transurethral electrovaporization of the prostate resection can relieve the bladder outlet obstruction caused by prostate cancer and improve the quality of life of patients.