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目的探讨经尿道汽化电切术(TUVP)治疗良性前列腺增生症(BpH)的效果。方法对125例BPH患者实施前列腺汽化电切术,术后随访6~12个月。以前列腺症状评分,尿流率、残余尿改善为依据,分析其疗效。结果125例手术时间30~100min,失血量40~150ml,术后前列腺症状评分(IP-SS),尿流率、残余尿均得到明显改善,无尿道电切综合征及真性尿失禁发生,平均留置导尿管时间4~5d,尿道狭窄3例,125例均手术成功。结论TUVP治疗BPH出血少,手术安全,疗效确切,是治疗BPH的有效方法。
Objective To investigate the effect of transurethral vaporization (TUVP) on benign prostatic hyperplasia (BpH). Methods 125 cases of BPH patients underwent prostate electrovaporization, followed up for 6 to 12 months. Prostate symptoms score, urinary flow rate, residual urine improvement based on the analysis of its efficacy. Results 125 cases of operation time 30 ~ 100min, blood loss 40 ~ 150ml, postoperative prostate symptom score (IP-SS), urinary flow rate, residual urine were significantly improved, no urethral resection syndrome and true urinary incontinence, the average Indwelling catheter time 4 ~ 5d, urethral stricture in 3 cases, 125 cases were successful in all operations. Conclusion TUVP is less effective in treating BPH due to less bleeding, safe operation and definite curative effect.