【摘要】 目的　探讨经尿道气化电切术治疗高龄高危前列腺增生症 (BPH)的方法和疗效。方法　采用经尿道前列腺气化电切术治疗高龄高危BPH患者 87例。结果　全部病例均顺利耐受手术。前列腺重 2 2～ 12 8g ,平均 35 .7g ,切除腺体组织重量 9～ 6 1g ,平均 32g。手术时间 2 1～ 87min ,平均 4 9min。国际前列腺症状评分 (IPSS)由术前的 2 6 .8± 4 .2分降至术后 9.3± 3.7分 (t=- 2 7.5 5 ,P <0 .0 1) ;生活质量评分 (QOL)由术前的 5 .9± 0 .8分降至术后 2 .1± 0 .5分 (t=- 2 9.93,P <0 .0 1) ;最大尿流率 (MFR)由术前的 5 .6± 3.7ml s升至术后 18.4± 4 .1ml s(t=14 .95 ,P <0 .0 1) ,平均尿流率 (AFR)由术前的 2 .8± 0 .9ml s升至术后 10 .1± 2 .1ml s(t=17.6 7,P <0 .0 1) ;剩余尿量 (RU)由术前的 183± 6 9.3ml降至术后 35 .2± 16 .3ml(t=- 9.6 4,P <0 .0 1)。随访 3～ 2 4月 ,平均 19月 ,排尿通畅。结论　经尿道前列腺气化电切术是治疗高龄高危BPH患者安全有效的方法更多还原

【Abstract】 Objective To evaluate the method and effect of the transurethral vapor resection of the prostate(TUVRP) on senior and high risk benign prostatic hyperplasia(BPH).Methods Eighty seven cases of senior and high risk BPH were treated by Tuvrp retrospectively from January 2001 to August 2003.Results The weight of resected tissue was 32g,the duration of the procedure was 49min (range 21～87min).All patients were followed up for 3 months to 2 years,mean 19 months.The international prostate symptom score (IPSS) decreased from 26.8±4.2 scores to 9.3±3.7 scores;the quality of life (QOL) decreased from 5.9±0.8 scores to 2.1±0.5 scores,respectively (P<0.01);the maximum flow rate (MFR) increased from 5.6±3.7ml/s to 18.4±4.1ml/s,respectively (P<0.01);the average flow rate (AFR) increased from 2.8±0.9ml/s to 10.1±2.1ml/s,respectively (t=17.67,P<0.01);the residual urine (RU) decreased from 183±69.3ml to 35.2±12.3ml,respectively (P<0.01).Conclusion It is suggested that transurethral vapor resection of the prostate is effective and safe to deal with the patients with BPH in senior and high risk.更多还原