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编者按 电气化是应用高能量电极( 切割250 W ,凝固60 W) 产生组织气化和凝固双重效应的电外科技术。自1994 年应用它经尿道治疗前列腺增生症( T V P) 以来,该技术已被广泛接受。它能明显改善尿流梗阻症状和尿流动力学参数。 T V P 和 T U R P 相比,效果相仿,但手术时间、术后保留导尿管天数及住院日期均缩短。 T V P 和激光气化比较, 术后导尿时间分别是14 小时和82 .3 小时;术后刺激症状持续时间分别是1 个月和3 个月( J Urol1995 ;154 :1785) 。 T V P 是一种安全、有效的微创技术,但也有它的不足之处,为限制于处理< 50 g 的小腺体,手术时间仍嫌长。更新满意的电发生器及满意的电极,可能使该技术更趋完善。
Editor’s Editor Electrification is an electrosurgical technique that uses the high energy electrode (250 W cut, 60 W coagulation) to create the dual effects of tissue vaporization and coagulation. This technique has been widely accepted since it was applied transurethral therapy of benign prostatic hyperplasia (T V P) in 1994. It can significantly improve urinary obstruction symptoms and urodynamic parameters. T V P compared with T U R P, the effect is similar, but the operation time, postoperative catheter retention days and hospitalization days are shortened. T V P and laser vaporization, postoperative catheterization time was 14 hours and 82 respectively. 3 hours; duration of postoperative irritation was 1 month and 3 months, respectively (J Urol 1995; 154: 1785). T V P is a safe and effective minimally invasive technique, but it has its drawbacks. To limit the treatment to small glands <50 g, the operation time is still too long. Updating the satisfactory electrical generator and the satisfied electrode may make the technology more sophisticated.