摘要目的 探讨经尿道前列腺汽化电切术(transurethral vapor-resection of the prostate,TUVP)治疗前列腺增生症(benign prostate hyperplasia,BPH)的疗效和安全性.方法 回顾性分析2000年1月至2009年9月本院收治的300例BPH患者行TUVP的治疗效果.结果 所有患者手术效果满意,手术时间50～90 min,平均55 min;切除前列腺质量20～85 g,平均质量35 g;平均出血量81 ml;术后后期出血2例;平均留置尿管时间5 d;发生经尿道电切综合征(transurethral resection syndrome,TURS)先兆3例;国际前列腺症状评分(IPSS)从术前平均26.3分降至术后3个月平均6.7分(P<0.01);残余尿量由术前平均98 m L减少至37 m L(P<0.01);术后最大尿流率(Qmax)由术前3.2±1.0 ml/s升高至15.6±0.8ml/s(P<0.01).结论 TUVP手术安全、创伤小,并发症少,是治疗BPH的理想手术方式.

abstractsObjective To evaluate the efficacy and safety of transurethral vapor-resection of the prostate(TUVP) for the treatment of benign prostate hyperplasia(BPH). Methods This retrospective research analyzed the results of 300 patients with BPH registered in our hospital from January 2000 to September 2009. Results All the patients underwent the operation successfully. Mean operation time was 55 min. Mean resected prostatic tissue was 35 g. Mean hemorrhage volume was 81 ml. Postoperative hemorrahage occurred in later stage in 2 cases. The mean time of an indwelling urethal catheter was 5 days. Aura of transurethral resection syndrome (TURS) occurred in 3 cases. IPSS decreased to from 26. 3 points to 6. 7 points at 3 months following transurethral surgery ( P < 0. 01 ). Residual urine volume decreased from 98 ml to 37 ml ( P < 0.01 ). The postoperative Qmax increased from (3.2 ± 1.0)ml/s to( 15.6 ± 0. 8 )ml/s (P < 0. 01 ). Conclusion The method of TUVP, a desirable surgery for BPH,is safe with fewer injuries and complications.