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目的探讨经尿道前列腺电汽化术+电切(TUVP+TURP)手术方法治疗前列腺增生症(BPH)进行分析研究。方法采用经尿道前列腺电汽化术(TUVP)+电切术(TURP)联合治疗前列腺(BPH)患者3 000例。结果手术过程顺利,视野清晰,出血量少,疗效满意,未出现严重并发症。随访6个月~3 a平均最大尿流率(Qmax)由术前(7.2±3.0)ml/s上升至(18.88±3.27)ml/s,平均前列腺症状评分(Ipss)由术前(29.79±3.5)分降至术后(9.10±2.67)分,平均剩余尿量从70~650 ml下降至0~20 ml。结论经尿道前列腺电汽化术(TUVP)+电切术(TURP)联合治疗前列腺(BPH)兼有两者优点,是治疗前列腺增生症(BPH)的有效方法 。
Objective To investigate the treatment of benign prostatic hyperplasia (BPH) by transurethral electrovaporization and electrosurgery (TUVP + TURP). Methods Thirty thousand patients with prostate (BPH) were treated with transurethral electrovaporization of the prostate (TUVP) plus resection (TURP). Results The operation was smooth, the field of vision was clear, the amount of bleeding was less, the curative effect was satisfactory and no serious complication occurred. The average maximum flow rate (Qmax) increased from 7.2 ± 3.0 ml / s to (18.88 ± 3.27) ml / s preoperatively from 6 months to 3 years after operation. The mean Ipss score increased from 29.79 ± 3.5) points to postoperative (9.10 ± 2.67) points, the average residual urine volume decreased from 70 ~ 650 ml to 0 ~ 20 ml. Conclusions The combination of TUVP and TURP in the treatment of prostate (BPH) has both advantages and is an effective method for the treatment of benign prostatic hyperplasia (BPH).