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目的 :探讨解除高危前列腺增生 (BPH)患者膀胱出口梗阻 (BOO)症状安全有效的手术方法。方法 :采用经尿道前列腺气化电切上通道成形术、经尿道前列腺气化电切下通道成形术、经尿道前列腺乙醇注射消融术(TEAP)等腔内手术方法治疗BPH患者 311例。结果 :本组手术时间短 ,平均 2 5 .8min ;术中出血不多 ,无死亡病例 ;近期排尿顺畅 ,18个月抽样随访 ,最大尿流率 (Q max)平均为 14 .8ml s。结论 :经尿道前列腺气化电切上、下通道成形术、TEAP是解除高危BPH患者BOO症状的一种腔内手术方法 ,其手术操作简易、微创 ,安全有效。
Objective: To explore a safe and effective surgical method to relieve bladder outlet obstruction (BOO) in high risk patients with benign prostatic hyperplasia (BPH). Methods: Thirty-one BPH patients were treated with transurethral vaporization of the prostate, transurethral electrovaporization of the prostate, and transurethral ablation of ethanol by a transvaginal approach (TEAP). Results: The operation time of this group was short, with an average of 25.8 minutes. There was not much bleeding and no deaths during the operation. The recent urination was smooth and the follow-up was 18 months. The mean maximum flow rate (Q max) was 14.8 ml s. Conclusion: Transurethral electrovaporization of the transurethral resection of the upper and lower channel, TEAP is an intraluminal surgical method to relieve the symptoms of BOO in high-risk BPH patients. The operation is simple, minimally invasive, safe and effective.