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目的 :探讨电汽化切割治疗前列腺增生症 (BPH)的效果。方法 :应用铲状电汽化切割襻对 5 6 0例BPH行经尿道前列腺汽化切除。结果 :前列腺平均重量 72 g ;平均手术时间 40min ;平均出血 40ml;平均留置尿管时间 48h ;术后平均住院 4d。最大尿流率由术前 6 .1ml/s上升至术后 3个月的 2 0 .3ml/s;I-PSS症状评分术前2 2 .1,术后 3个月降至 4.4(P <0 .0 0 1)。结论 :经尿道前列腺电汽化切割出血少 ,手术安全 ,治疗效果明显 ,是治疗BPH最有效的治疗方法。
Objective: To investigate the effect of electrosurgical cutting on benign prostatic hyperplasia (BPH). Methods: Gynecologic resection of 506 cases of BPH through the urethra was performed by shovel electrovaporization. Results: The mean prostate weight was 72 g. The average operation time was 40 minutes. The mean bleeding time was 40ml. The average duration of catheterization was 48 hours. The average postoperative hospital stay was 4 days. The maximal uroflow rate increased from 6.1ml / s preoperatively to 20.3ml / s at 3 months postoperatively. The I-PSS symptom score was 21.2% preoperatively and dropped to 4.4 at 3 months postoperatively (P < 0 .0 0 1). Conclusions: Transurethral electrovaporization of the prostate does not result in less bleeding, safe operation and obvious therapeutic effect. It is the most effective treatment for BPH.