我院自1997年开始,采用经尿道气化和电化治疗前列腺增生症97例,效果满意,报告如下。 1 资料与方法 1.1 一般资料 本组97例,年龄54～88岁,平均71.6岁。排尿困难史,1～20年。平均4.3年。直肠指诊前列腺Ⅰ度增生17例,Ⅱ度增生37例,Ⅲ度增生12例。术前留置导尿管28例,耻骨上膀胱造瘘5例,并发高血压病21例,冠心病16例,糖尿病19例。IPSS症状评分23.8。 1.2 手术方法 硬膜外麻醉或硬膜外麻醉加腰麻截石位,插入电切镜,持续冲洗下,观察膀胱、前列腺。耻骨上膀胱穿刺造瘘。气化电切先后气化前列腺中叶、侧叶、前叶增生明 Our hospital since 1997, the use of transurethral gasification and electrochemical treatment of benign prostatic hyperplasia in 97 cases, the results are satisfactory, the report is as follows. 1 Materials and Methods 1.1 General Information The group of 97 cases, aged 54 to 88 years, mean 71.6 years. History of dysuria, 1 to 20 years. Average 4.3 years. 17 cases of prostatic hyperplasia, 27 cases of degree Ⅱ hyperplasia and 12 cases of Ⅲ degree hyperplasia. Preoperative catheterization in 28 cases, suprapubic bladder fistula in 5 cases, complicated by hypertension in 21 cases, coronary heart disease in 16 cases, 19 cases of diabetes. IPSS Symptom Score 23.8. 1.2 surgical epidural anesthesia or epidural anesthesia plus spinal lithotomy position, insert the resectoscope, continuous irrigation, the bladder, prostate. Suprapubic bladder puncture fistula. Gasification cut has gasification of the middle and lower prostate, side leaves, anterior proliferative Ming