【摘要】 目的 :探讨经尿道前列腺气化电切术 (TUVRP)治疗高危重度前列腺增生症 (BPH)的临床价值。方法 :6 3例平均年龄 79岁、有全身并发症和泌尿科并发症 2种以上、前列腺测重 >5 0 g的患者 ,经个体化围手术期准备后行TUVRP ,观察手术安全性和有效性。结果 :全部病例均顺利承受手术 ,随访 3～ 6个月 ,平均IPSS从 31分降至 7分 ,最大尿流率 (Qmax)从 7ml/s上升至 2 2ml/s,剩余尿量从 15 5ml下降至 5 0ml。结论 :TUVRP是彻底治疗高危重度BPH安全、有效的方法。更多还原

【Abstract】 Purpose: To evaluate transurethral vapor-resection of the prostate in high risk patients with large volume BPH.Method: 63 cases of BPH with mean age 79 years old, There were coexisted urological and systemic diseases >2 kinds , Mean prostate weight >50 g were treated with TUVRP. Patients were followed up with IPSS,QOL , PUR and urodynamic examinations.Result: TUVRP procedures were successful in all cases after meticulous pro-opertive preparation. The IPSS were decreased from 31 preoperativelly to 7 postoperatively, Q max increased form 7 ml/s preoperativelly to 22 ml/s postoperatively, PUR decreased from 155 ml to 50 ml.Conclusion: TUVRP was a simple, effective and safe method to treat high risk patients with large volume BPH.更多还原