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目的 评价经尿道前列腺电汽化术 (TUVP)治疗高龄患者良性前列腺增生 (BPH)症的疗效。方法 对 82例 75～ 96岁高龄BPH患者施行TUVP ,并于术后 3、6、12个月进行随访。结果 术后随访 3、6、12个月 ,国际前列腺症状评分 (IPSS)分别为 10 .2、6 .4及 5 .2分 ;生活质量评分 (QOL)为 2 .8、2 .1及 1.8分 ;最大尿流率(Qmax) 12 .7、16 .6及 18.2ml/s;残余尿量各项评估指标手术前后比较经统计学检验有显著性差异 (P <0 .0 1)。结论 TUVP疗效确切、安全、易于掌握 ,是解除BPH引起的下尿路梗阻和提高高龄BPH患者生活质量的有效方法。
Objective To evaluate the efficacy of transurethral electrovaporization of the prostate (TUVP) in the treatment of benign prostatic hyperplasia (BPH) in elderly patients. Methods TUVP was performed in 82 elderly BPH patients aged 75 to 96 years and followed up 3, 6 and 12 months after operation. Results The postoperative follow-up was 3, 6 and 12 months. The International Prostate Symptom Score (IPSS) was 10.2, 6.4 and 5.2 respectively. The Quality of Life Scale (QOL) was 2.8, 2.1 and 1.8 Points; the maximum flow rate (Qmax) of 12.7,16.16 and 18.2ml / s; residual urine volume of various indicators before and after surgery compared statistically significant (P <0.01). Conclusion TUVP is effective, safe and easy to master. It is an effective way to relieve lower urinary tract obstruction caused by BPH and improve the quality of life in elderly patients with BPH.