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[目的]探求经尿道前列腺电汽化术安全的手术模式。[方法]总结本组182例,对102例先电切(TURP)后汽化(TUVP)手术模式(I组),80例汽化切割(TUVRP)手术模式(II组)相关指标进行统计学分析。[结果]手术用时、术中出血量、灌洗液量、发生包膜穿孔方面I组明显高于II组,差异具有统计学意义(t=4.57,P﹤0.05,t=9.63,P﹤0.01,t=9.76,P﹤0.01,χ2=8.366,P﹤0.01)。术后并发症、疗效等方面两组差异无统计学意义,两组均无死亡、电切综合征(TURS)、尿失禁等发生。[结论]TUVRP出血少,视野清,安全性高,优于先TURP后TUVP模式。
[Objective] To explore the safe operation mode of transurethral electrovaporization of the prostate. [Methods] To summarize the data of 182 cases of TUVP in group TEPP (Group I) and 80 cases of TUVP (Group II). [Results] The I group was significantly higher than that of the II group in surgery, intraoperative blood loss, volume of lavage fluid, and perforation. There was significant difference between the two groups (t = 4.57, P <0.05, t = 9.63, P <0.01) , t = 9.76, P <0.01, χ2 = 8.366, P <0.01). There was no significant difference between the two groups in postoperative complications and curative effect, no death, TURS and urinary incontinence occurred in both groups. [Conclusion] TUVRP has less bleeding, clear field of vision and higher safety than TUVP after TURP.