【摘要】 目的总结前列腺汽化电切的手术经验及诊治体会。方法回顾性分析50例前列腺增生患者的治疗结果及并发症的防治。结果本组手术时间25~110 min。切除组织25~90 g,平均35 g,术中出血较少,无1例输血。2例发生TUVP综合征,经利尿、脱水后治愈。无死亡病例,无真性尿失禁出现。术后冲洗3~6 d,拔尿管后均排尿顺畅。随访2年,5例术后出现排尿困难。4例经尿道扩张后治愈,1例院外再次汽化电切仍排尿不畅。1例术后7 d尿道溢血,经三腔管压迫冲洗后治愈。3个月时国际评分由术前(26.6±2.3)分降至(2.0±0.7)分。经B超检查42例无残余尿(84%),余者有残余尿0~40 ml。结论前列腺增生症行汽化电切治疗创伤小、并发症少、恢复快,是前列腺增生治疗的金标准。更多还原

【Abstract】 Objective To summarize the experience of transurethral electrovaporization of the prostate(TUVP) and the experience of diagnosing and treating benign prostatic hyperplasia(BPH).Methods The data of 50 patients with BPH was retrospectively analyzed,including the therapeutic results,the prevention and cure of complications.Results The operative duration was 25～110min and the weight of resected prostate was 25～90g(mean weight 35g).The blood loss during operation was little and no patient needed blood transfusion.Transurethral resection syndrome(TURS) occured in 2 patients who were cured by diuresis treatment.No patient died or had incontinence.All patients were catheterized after surgery and irrigated continuously for 3～6d.After the catheters were removed,all patients gained normal micturation.During the 2-year’s follow-up,5 patients had difficulties of ruination,4 patients were cured by urethral dilation,1 patient underwent a re-operation with TUVP in another hospital but still had difficulty of urination.1 patient suffered urethremorrhage at 7d after operation,and was cured by re-catheterization with a three-way Foley catheter and continuous irrigation.All patients were followed up.At the stage of 3 months the International Prostate Symptom Scores(IPSS) decreased from(26.6±2.3) to(2.0±0.7).All patients underwent ultrasonography,in 42 patients(84%) there was no residual urine,in others(16%) the residual urine volume was 0～40m1.Conclusion TUVP is a "Gold Standard"to treat BPH,which has advantages of less injury,less complications,and quicker recovery.更多还原