前列腺增生症；经尿道前列腺电切汽化术_

电切汽化治疗前列腺增生157例报告

http://www.100md.com 《腹腔镜外科杂志》 2006年第3期

前列腺增生症；经尿道前列腺电切汽化术,,前列腺增生症；经尿道前列腺电切汽化术,【摘要】,【关键词】,1资料与方法,2结果,3讨论,参考文献

     【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。

     【关键词】 前列腺增生症；经尿道前列腺电切汽化术

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

    XU Jun,LI Huining,CHEN Bin.

    Dept.of Urology,Second People's Hospital of Shanxi Province,Xi'an 710005,China

    【Abstract】 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. ......

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