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目的 :比较经尿道前列腺汽化切割 (TUVP)与电切术 (TURP)治疗良性前列腺增生 (BPH)病人的疗效。 方法 :2 0 6例BPH病人 (术前估计前列腺重量≤ 6 0 g)被随机分成TUVP(97例 )和TURP(10 9例 ) 2组 ,对病人进行为期 12～ 34(平均 2 0 )个月的随访。 结果 :2组术后第 12、2 4个月国际前列腺症状评分 (I PSS)均较术前下降 (P<0 .0 1) ,膀胱残余尿 (PVR)均较术前减少 (P <0 .0 1) ,最大尿流率 (Qmax)均较术前升高 (P <0 .0 1)。 结论 :TUVP和TURP对增生≤ 6 0g的BPH病人均有良好的治疗作用。TUVP较TURP能缩短手术时间和术后置管时间
Objective: To compare the efficacy of transurethral vaporization of the prostate (TUVP) and resection (TURP) in the treatment of benign prostatic hyperplasia (BPH). Methods: A total of 206 patients with BPH (preoperatively estimated prostate weight ≤ 60 g) were randomized into 2 groups: TUVP (97 cases) and TURP (109 cases). The patients were treated with 12 to 34 (average 20) Month follow-up. Results: The Ipsilateral Prostate Symptom Score (I PSS) decreased significantly (P <0.01) and bladder residual urine (PVR) in both groups at 12 and 24 months after operation .0 1) and maximum flow rate (Qmax) were significantly higher than those before operation (P <0.01). Conclusion: TUVP and TURP have a good therapeutic effect on BPH patients with hyperplasia ≤ 60g. TUVP than TURP can shorten the operation time and postoperative catheterization time