电切汽化治疗前列腺增生157例报告  

Transurethral electro-vaporization-ablation in treatment of prostatic hyperplasia for 157 patients

作　　者：徐军[1] 李会宁[1] 陈斌[1] 

机构地区：[1]陕西省第二人民医院,陕西西安710005

出　　处：《腹腔镜外科杂志》2006年第3期201-202,共2页Journal of Laparoscopic Surgery

摘　　要：目的：探讨经尿道电切汽化术（TUEVAP）治疗前列腺增生症（BPH）的效果。方法：为前列腺增生症157例患者施行TUEVAP术。结果：手术时间30-120min，平均60min，术中无1例输血，4例轻度TURS，术后1-4d拔除导尿管，排尿均通畅，随访3～30个月，IPSS由术前（28．2±1．8）降至术后的（7．5±0．4）（P〈0.01），最大尿流由术前的平均（5．0±0．5）ml／s，升至术后的（18．5±2．7）ml／s（P〈0．01）。结论：TUEVAP操作简单，腺体切除量大，止血效果好，并发症少，安全性高，患者康复快，疗效显著。Objective： To evaluate the effect of transurethral electro-vaporization-ablation of the prostate （TUEVAP） in treatment of benign prostatic hyperplasia（BPH）. Methods：TUEVAP was perfomed in 157 cases of BPH. Results：The mean operation time was 60 minutes （30 to 120min）. No one needed blood transfusion during the operation. Postoperatively, transurethral resection syndrom occurred in 4 cases. The mean catheterization time was 3 days （ 1 to 4 days）. The peak flow rate increased from （5.0 ±0. 5） ml/s to （ 18. 5 ±2.7）ml/s（P 〈0.01 ） ,and the IPSS decreased from（28.2 ± 1.8）to （7.5 ±0.4） （P 〈0.01 ） during 3 to 30 months. Conclusions： TUEVAP embodies the advantages of both TURP and TVP with less complaint and quicker recovery.

关 键 词：前列腺增生症 经尿道前列腺电切汽化术 

分 类 号：R697.3[医药卫生—泌尿科学]