作者：杨勇　杨毅军　赵留存　周克斌　杨京可　虎威

【摘要】  　　目的 探讨经尿道前列腺电汽化术(TVP) 治疗 前列腺增生的疗效。 方法 回顾 分析 采用经尿道前列腺电汽化术治疗386例前列腺增生(BPH)患者的临床资料。结果 术中发生前列腺包膜穿孔2例，电切综合征(TURS)1例。术后随访1月-5年，术后3月内出血6例，前列腺尖部黏连狭窄1例，远期出血2例发生在术后1-3年。术后3个月最大尿流率(Qmax)12.3-23.5mL/s，平均18.5mL/s；IPSS评分6-17分，平均9.5分。结论 经尿道电汽化术治疗前列腺增生效果明显，腺体残留是术后出血、排尿困难的主要原因。

【关键词】  前列腺增生　经尿道前列腺汽化术　并发症

　　Transurethral vaporization of the prostate for treatment BPH patients (report of 386 cases)

　　ABSTRACT: Objective  To evaluate the effect of transurethral vaporization of the prostate (TVP) on benign prostatic hyperplasia (BPH). Methods  The data of BPH patients with TVP were reviewed. Results  2 cases of capsular perforations and 1 case of TURS occurred in intraoperation.1 case of urethral stricture in apex of prostate and 6 cases of significant postoperative bleeding occurred in three months after operation.2 cases of postoperative bleeding occurred from 1-3 years after TVP. The Qmax was increased to 12.3-23.5mL/s after surgery and the average of Qmax was 18.5mL/s. IPSS scored 6-17 and the average of IPSS was 9.5. Conclusion  The effect of TVP treatment on BPH is good. Residual tissue is the main reason of postoperative bleeding……