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目的观察经尿道视频电气化术治疗膀胱前列腺疾病的疗效。方法应用经尿道视频电气化术治疗前列腺增生症56例;膀胱颈挛缩8例;膀胱肿瘤22例(其中12例合并前列腺增生症)。结果平均手术时间经尿道前列腺电气化术(TUVP)80min,经尿道膀胱肿瘤电气化术(TVBt)32min,TUVP+TVBt86min,膀胱颈挛缩26min。术后留置尿管3～5d,90%的前列腺增生患者残余尿消失,22例膀胱肿瘤随访24个月复发4例。结论经尿道视频电气化术治疗膀胱前列腺疾病是一种安全性高,并发症少,疗效显著的方法。
Objective To observe the efficacy of transurethral electrovaporization in the treatment of bladder prostatic diseases. Methods 56 cases of benign prostatic hyperplasia (BPH) were treated by transurethral electrovaporization of the prostate. There were 8 cases of bladder neck contracture and 22 cases of bladder tumor (12 of which had benign prostatic hyperplasia). Results The average operative time was 80min after transurethral electrovaporization of the prostate (TUVP), 32min after transurethral electrovaporization of the bladder tumor (TVBt), TUVP + TVBt86min, and 26min after contracture of bladder neck. Postoperative catheter 3 ~ 5d, 90% of patients with benign prostatic hyperplasia residual urine disappeared, 22 cases of bladder cancer recurrence 24 months recurrence in 4 cases. Conclusion Transurethral electrovaporization of the bladder for the treatment of bladder disease is a high security, fewer complications, and a significant effect.