目的 :探讨良性前列腺增生症 (BPH) 2种不同术式的治疗效果、适应证及减少手术危险性的方法。方法 :对两组条件相似的BPH患者分别应用经膀胱前列腺摘除术 (TVP)和经尿道前列腺电切术 (TURP)治疗。结果 :全部患者术后排尿均通畅 ,无死亡病例 ,两术式疗效相似。但TURP比TVP具有创伤小 ,恢复快 ,并发症少 ,一般不需输血的优点。结论 :TURP可作为治疗BPH的首选术式 ,但不能替代TVP。严格选择适应证 ,治疗术前并发症 ,控制血压等 ,可减少手术危险性 Objective: To investigate the therapeutic effects, indications and the surgical risk reduction methods of two different surgical procedures for benign prostatic hyperplasia (BPH). METHODS: Two groups of patients with similar BPH were treated by transurethral resection of the prostate (TVP) and transurethral resection of the prostate (TURP). Results: All patients had smooth urination and no deaths. The two methods were similar. However, TURP has less trauma, faster recovery and fewer complications than TVP, and generally does not require blood transfusion. Conclusion: TURP can be used as the first choice for the treatment of BPH, but it can not substitute for TVP. Strict selection of indications, the treatment of preoperative complications, blood pressure control, etc., can reduce the risk of surgery