摘要
目的:探讨对高龄患者的经尿道前列腺汽化电切术(TUVP)联合经尿道前列腺电切术(TURP)治疗良性前列腺增生的效果与优点。方法:经尿道前列腺汽化电切术加电切术治疗前列腺增生患者180例。结果:180例均有效,国际前列腺症状积分(IPSS)术前28.6±3.2分,术后下降至6.7±1.3分;生活质量评分(QOL)术前5.9±4.7分,术后下降1.7±0.3分;最大尿流率Qmax(ml/秒)由4.8±1.7ml/秒增加至33.5±3.7ml/秒,残余尿由术前220.5±20.6ml减少至术后28.4±7.4ml。上述指标术前、术后相比,差异有显著性(P<0.05)。结论:经尿道前列腺汽化电切联合经尿道前列腺电切治疗前列腺增生症较开放手术具有适应证宽、痛苦少、出血少、恢复快、并发症少、疗效显著易于掌握等优点。
Objective：To summarize the clinical significance of the TUVP and TURP in the treatment of BPH for effect and advantages. Methods：Retrospectively analyzing the date of 180 cases of BPH who underwent TUVP and TURP treatment. Results： 180 patients were effective. International prostate symptoms integral （ IPSS ） preoperative 28.6 ± 3.2,postoperative dropped to 6.7 ± 1.3 ; The quality of life（QOL） preoperative score of 5.9 ± 4.7, postoperative declined to 1.7 ± 0.3 ; The biggest urine flow rate （Qmax） by 4.8 ±1.7ml/s increased to 33.5 ± 3. 7ml/s, residual urine preoperative by 220.5 ± 20.6ml decreased to postoperative 28.4 ± 7.4ml. The above indexes were significantly different than before or after operation, （ P 〈 0.05 ）. Conclusion： The TUVP and TURP in the treatment of BPH that relatived to the open surgery has indications wide, less painful, less bleeding, quick recovery, fewer complications, and easy to master curative effect is distinct advantages, and clinical application.
关键词
前列腺增生症
经尿道前列腺汽化电切术
经尿道前列腺电切术
Prostatic hyperplasia
Transurethral vaporization of the prostate
Transurethral resection of theprostate
