经尿道前列腺气化切割术联合电切术治疗前列腺增生329例分析  

THE COMBINED USE OF TRANSURETHRAL ELECTROVAPORIZATION ABLATION AND TRANSURETHRAL PROSTATECTOMY FOR BPH: REPORT OF 329 CASES

作　　者：高斌[1] 吕天兵[1] 付承忠[1] 程支利[1] 金涛[1] 

机构地区：[1]内江市第一人民医院泌尿外科,四川内江641000

出　　处：《泸州医学院学报》2004年第6期518-520,共3页Journal of Luzhou Medical College

摘　　要：目的 :提高经尿道前列腺气化切割联合电切术治疗前列腺增生 (BPH)的安全性和有效性。方法 :对32 9例BPH患者采用StorzF2 4气化电切镜行经尿道前列腺气化切割联合电切术治疗。结果 :平均手术时间 6 5min ,3例输血 ,无尿失禁和死亡病例。术后随访 3～ 18个月 ,国际前列腺症状评分 8分 ,最大尿流率 15 .3ml s。结论 :经尿道前列腺气化切割术联合电切术是一种治疗BPH安全性高、易掌握、并发症少、疗效显著的手术方法。Objective: To improve the safety and effect of the combined electrovaporization ablation and transurethral resection of the prostate in the treatment of BPH. Method: 80 cases with BPH were treated by combining transurethral electrovaporization ablation with resection of the prostate, and then the clinical data were analyzed. Results: Mean operative time was 65 min. Three cases needed blood transfusion. There was no urinary incontinence and death in this group. During 3 to 18 months follow-up IPSS decreased to 8 points and Qmax increased to 15.3ml/s. Conclusions: Combined transurethral electrovaporization ablation of the prostate is the treatment of choice for patients with BPH. This operation style is safe, easy to handle, having low occurrence of complications, and having excellent outcomes.

关 键 词：前列腺增生 经尿道气化切割 经尿道电切 

分 类 号：R69[医药卫生—泌尿科学]