经尿道前列腺气化电切术治疗前列腺增生症  

Treating benign prostatic hyperplasia by transurethral vapor-resection of the prostate

作　　者：蒋奇峰[1] 孔质彬[1] 

机构地区：[1]中国人民解放军第181医院急诊科,广西桂林541002

出　　处：《华夏医学》2014年第3期38-40,共3页Acta Medicinae Sinica

摘　　要：目的:探讨治疗良性前列腺增生症(BPH)的有效方法。方法:采用经尿道前列腺电切术(TURP)和经尿道前列腺气化术(TUVP)治疗BPH患者66例。结果:作连续硬膜外麻醉或腰麻,手术时间平均63min,切除前列腺组织重量平均30g。术后出血相对较少,未出现严重并发症。术后随访,最大尿流率平均14.5ml/s,剩余尿量平均22ml,患者自觉症状较满意。结论:TURP结合TUVP是治疗BPH的一种有效方法,具有微创、安全性高、疗效确切、手术时间短、并发症少等优点,且优于单纯的TURP,可作为治疗前列腺增生症的首选方法。Objective： To explore an effective method for the treatment of benign prostatic hyperplasi a （BPH）. Methods： Transurethral resection of the prostate （TURP） and transurethral vaporization technique （TUVP） were applied to the treatment of 66 patients with BPH. Results： Patients were performed continuous epidural anesthesia or spinal anesthesia, the average operative time was 63 mins. And the average removal weight of the prostate tissue was 30 g. Postoperative bleeding amount was relatively small, and no serious complications occurred. Postoperative follow-up, the mean Qmax was 14.5 ml/s, the average residual urine volume was 22 ml, self-conscious symptoms in patients were more satisfied. Conclusion： TURP combined with TUVP is an effective treatment for BPH, which has the advantage of being minimally invasive, safe, effective, shorter time in op eration, and less complications. It is superior to the mere TURP, so it can be used as the preferred method for the treatment of BPH.

关 键 词：前列腺增生症 经尿道前列腺电切术 经尿道前列腺气化术 

分 类 号：R697.32[医药卫生—泌尿科学]