目的　介绍优化经尿道前列腺切除术的操作方法。　方法　在 170例经尿道前列腺切除过程中 ,对某些习惯性操作进行尝试性改进。主要改进包括 :直视进镜、穿刺造瘘、强凝弱切、汽化电切、不切 11～ 1点。　结果　平均切除速度为 0 .6 5 (0 .13～ 0 .72 ) g/min ,与传统方法比较差别显著(P <0 .0 5 ) ;术后 3～ 5d拔出导尿管 ,98.8% (16 8/170 )的患者排尿通畅。　结论　操作优化后 ,可适当放宽经尿道前列腺切除术的适应证 ,提高手术效率 ,减少术中出血 ,降低术后并发症 ,值得推广 Objective To introduce the method of optimizing transurethral resection of the prostate. Methods In 170 cases of transurethral resection of the prostate, some routine manipulations were tentatively improved. The main improvements include: direct into the mirror, puncture fistula, strong weak weak cut, vaporized cut, do not cut 11 to 1 point. Results The average removal rate was 0.665 (0.13-0.72) g / min, which was significantly different from the traditional method (P0.05). The catheter was removed 3 to 5 days after operation and 98.8% (16 of 8/170) patients had voiding. Conclusion After the operation is optimized, the indications of transurethral resection of the prostate can be appropriately relaxed to improve the operation efficiency, reduce the intraoperative bleeding and reduce the postoperative complications, which is worth to be promoted