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为提高Ⅲ～Ⅳ度增生前列腺切除的成功率，对采用经尿道前列腺切除（TURP）治疗的125例前列腺增生患者疗效进行分析。分析结果：电切时间为40～165min，平均为101min；切除组织重量为10．1～80．5g，平均为34．7g，电切组织重量与电切时间呈正相关。电切组织重量与术前B超计算体积百分比均数为78．16％±1．24％，在切除Ⅲ～Ⅳ度增生腺体时亦能获得同样的高比率，各组均超过70％。术后有12．8％患者出现并发症，随访3～42个月，92％患者获得良好的生活质量。认为术中保持膀胱低压，监测血电解质变化，及时治疗低钠血症、止血，能提高Ⅲ～Ⅳ度增生腺体切除的成功率。
In order to improve the success rate of Ⅲ ~ Ⅳ degree hyperplastic prostatic resection, the efficacy of transurethral resection of the prostate (TURP) in 125 cases of benign prostatic hyperplasia was analyzed. The results of the analysis were as follows: the time of electrosmision was 40 ~ 165min with an average of 101min; the weight of the resected tissue was 10.1 ~ 80.5g with an average of 34.7g; the weight of the electrosurgical tissue was positively correlated with the electrosurgical excision time. The average percentages of resected tissue and preoperative B ultrasound were 78.16% ± 1.24%, and the same high rate was obtained when resected grade Ⅲ ~ Ⅳ hyperplastic glands were resected, with each group more than 70%. Postoperative complications occurred in 12.8% of patients, followed up for 3 to 42 months, and 92% achieved good quality of life. That surgery to maintain bladder low pressure, monitoring of blood electrolyte changes, timely treatment of hyponatremia, hemostasis, can improve the degree of Ⅲ ~ Ⅳ success rate of glandular excision.