【摘要】 目的：探讨双极等离子经尿道前列腺剜除术(TUERP)联合膀胱造瘘术对前列腺增生(BPH)患者的治疗效果。方法：选取2017年9月-2019年9月医院收治的150例BPH患者，根据手术方式分为A组95例和B组55例，A组行TUERP，B组行TUERP联合膀胱造瘘术，观察两组手术前后逼尿肌压力、最大尿流率、残余尿量情况。结果：术后1、3个月，A组逼尿肌压力明显高于B组，残余尿量明显多于B组，最大尿流率明显低于B组，差异均有统计学意义(P<0.05)。两组术后国际前列腺症状评分(IPSS)均低于术前，且A组术后IPSS高于B组，差异均有统计学意义(P<0.05)。结论：采用TUERP联合膀胱造瘘术治疗BPH可改善患者逼尿肌压力、最大尿流率、残余尿量及临床症状，有助于患者迅速恢复。

    【关键词】 前列腺增生 双极等离子经尿道前列腺剜除术 膀胱造瘘术

    doi：10.14033/j.cnki.cfmr.2020.22.011 文献标识码 B 文章编号 1674-6805(2020)22-00-03

    [Abstract] Objective： To explore the curative effect of transurethral enucleation and resection of the prostate (TUERP) combined with cystostomy on patients with benign prostatic hyperplasia (BPH). Method： A total of 150 patients with BPH admitted to the hospital from September 2017 to September 2019 were selected and divided into the group A (95 cases) and the group B (55 cases) according to the surgical method. The group A received TUERP and the group B received TUERP combined with cystostomy. The detrusor pressure ......