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目的 :进一步探讨前列腺增生 (BPH)的有效手术新方法。方法 :采用经尿道前列腺电切术和气化术治疗BPH患者 5 6 8例。结果 :疗效满意 ,术后 3～ 6个月随访 ,国际前列腺症状评分 (IPSS) 8.5± 1.5分 ;最大尿流率 (Q max) 2 0 .5± 4 .5ml s,剩余尿量 2 9.1± 14 .2ml,未出现严重并发症。结论 :将电切和气化相结合行经尿道前列腺切除术是一种安全性高、并发症少、疗效确切的新手术方法 ,具有操作易掌握、出血少、速度快、安全可靠等优点。
Objective: To further explore a new effective surgical method for benign prostatic hyperplasia (BPH). Methods: Transurethral resection of the prostate and gasification were used to treat 568 BPH patients. Results: The curative effect was satisfactory. The follow-up was 3 to 6 months after operation. The IPSS score was 8.5 ± 1.5 points, the maximal flow rate (Q max) was 20.5 ± 4.5ml, the residual urine volume was 2 9.1 ± 14 .2ml, no serious complications. Conclusion: Transurethral resection of prostate combined with electrosurgical resection is a new surgical method with high safety, less complications and definite curative effect. It has the advantages of easy operation, less bleeding, faster speed, more safety and reliability.