目的:分析经尿道铥激光汽化术(Transurethral thulium laser vaporesection of the prostate,STMLRP)联合膀胱颈多点切开术(Transurethral bladder neck multi-point incision,TUBIN)治疗小体积前列腺增生(Benign prostatic hyperplasia,BPH)患者的效果.方法:选取我院小体积BPH患者75例,根据手术方案不同分为观察组(n=38)、对照组(n=37).对照组行常规经尿道前列腺切除术(Transurethral resection of the prostate,TURP),观察组行STmLRP联合TUBIN,比较两组最大尿流率(Maximum urinary flow rate,Qmax)、术后并发症、临床症状改善情况(IPSS).结果:术后1周、术后3个月两组Qmax均高于术前(P<0.05);观察组术后并发症发生率2.63％(1/38)与对照组8.11％(3/37)无明显差异(P>0.05);术后6个月两组IPSS评分、QOLS评分均低于术前(P<0.05).结论:STmLRP联合TUBIN治疗小体积BPH患者,可改善临床症状,提高最大尿流率,提高生活质量.