经尿道前列腺电汽化切除术治疗高龄高危患者的临床观察

周占松; 宋彩萍; 张家华; 熊恩庆; 温晋俭; 宋波; 季惠翔; 吴小军

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经尿道前列腺电汽化切除术治疗高龄高危患者的临床观察

论著 | 更新时间：2026-01-09

- 经尿道前列腺电汽化切除术治疗高龄高危患者的临床观察
- Transurethral electrovaporization of prostate for benign prostatic hyperplasia in senile and high risk patients
- 陆军军医大学学报 2007年29卷第2期页码：173-175
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  中图分类号： R339.34;R697.32;R699.1
- 纸质出版：2007
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周占松,宋彩萍,张家华,熊恩庆,温晋俭,宋波,季惠翔,吴小军.经尿道前列腺电汽化切除术治疗高龄高危患者的临床观察[J].陆军军医大学学报(原第三军医大学学报),2007,29(02):173-175.

　ZHOU Zhan-song,SONG Cai-ping,ZHANG Jia-hua,XIONG En-qing,WEN Jin-jian,SONG Bo,JI Hui-xiang,WU Xiao-jun.Transurethral electrovaporization of prostate for benign prostatic hyperplasia in senile and high risk patients[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(02):173-175.
周占松,宋彩萍,张家华,熊恩庆,温晋俭,宋波,季惠翔,吴小军.经尿道前列腺电汽化切除术治疗高龄高危患者的临床观察[J].陆军军医大学学报(原第三军医大学学报),2007,29(02):173-175. DOI：

　ZHOU Zhan-song,SONG Cai-ping,ZHANG Jia-hua,XIONG En-qing,WEN Jin-jian,SONG Bo,JI Hui-xiang,WU Xiao-jun.Transurethral electrovaporization of prostate for benign prostatic hyperplasia in senile and high risk patients[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(02):173-175. DOI：

摘要

目的评估经尿道前列腺电气化切除术治疗高龄、高危患者的安全性及疗效。方法回顾性分析经尿道前列腺电气化切除术治疗的138例80岁以上高危良性前列腺增生症（benign prostatic hyperplasia

BPH）患者的临床资料。结果 138例患者手术时间32～68 min(平均42 min)。电切前列腺组织42～155 g(平均76 g)；术中失血9～185 ml(平均38 ml)。术中未发生经尿道电切综合征、大出血。国际前列腺症状评分（international prostatic symptom score

IPSS）平均值由术前34.8降到7.5，平均Q

max

由6.89 ml/s 增加至15.67 ml/s。随访3～72个月，平均16.8个月。全部病例术后均排尿通畅。所有患者术后均未有心、脑、肝、肾等系统疾病加重。结论只要术前积极控制并发症，医师技术娴熟，经尿道前列腺电气化切除术是当今治疗80岁以上高危BPH的安全、有效的方法。

Abstract

Objective To evaluate the safety and efficacy of transurethral electrovaporization of the prostate(TUVP) in senile and high risk patients of benign prostatic hyperplasia(BPH). Methods The clinical data of 138 senile and high risk BPH patients treated by TUVP were analysed retrospectively. Results Mean weight of resected tissue was 76 (range 42-155) g and mean operation time was 42 (range 32-68) min. The blood loss during operation was 9-185 (average 38) ml. Postoperative mean maximal urinary flow rate was significantly increased

and the mean international prostatic symptom score (IPSS) was significantly decreased.The follow-up period was 3-72 months and all patients could pass urine smoothly.The preoperative concurrent diseases of heart

brain

liver and kidney etc. were not aggravated after TUVP operation. Conclusion TUVP can be applied to senile(≥80 years old) and high risk BPH patients with safety and satisfied efficacy.

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