经尿道前列腺电汽化术与经膀胱前列腺切除术的疗效比较  

Comparison of the therapeutic effects between transurethral vaporization of the prostate and suprapubic transvesical prostatectomy for benign prostate hyperplasia

作　　者：范刚[1] 

机构地区：[1]山东大学医学院研究生部,山东济南250012

出　　处：《华北煤炭医学院学报》2007年第3期295-297,共3页Journal of North China Coal Medical College

摘　　要：①目的评价经尿道前列腺电汽化术(TVP)与经膀胱前列腺切除术的临床疗效。②方法将前列腺增生(BPH)患者80例随机分两组,分别行经尿道前列腺电汽化术和耻骨上经膀胱前列腺切除术,比较两种术式的手术时间、术中输血量、近期疗效及其并发症。③结果两组术后国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率、剩余尿量均比术前明显改善(P<0.05),两组上述指标之间比较,差异无统计学意义(P>0.05)。④结论TVP治疗BPH与耻骨上经膀胱前列腺切除术相比,近期疗效相似,具有手术时间短,创伤小,出血少,恢复快,并发症少等特点,是一种治疗BPH的理想术式。Objective To evaluate the clinical effects of transurethral vaporization of the prostate （TVP） and suprapubic transvesieal rostatectomy for the treatment of benign prostate hyperplasia（BPH）. Methods 80 cases of BPH were separated randomly into two groups and treated by either TVP or prostatectomy. Operation time, blood transfusion volume, recent curative effects and complications were recorded and compared. Results When compared with preoperation, the IPSS, QOL, maximum flow rate and residual urine volume（RUV） were significantly improved （P 〈 0.05 ） ,while there were no significant difference in operation time, blood transfusion volume, recent curative effects and complications （ P 〉 0.05 ）. Conclusion The TVP behaved shorter operative and recovering time, minimally invasive procedure, less blood loss and complication for the treatment of BPH.

关 键 词：良性前列腺增生 经尿道前列腺电汽化术 外科手术 

分 类 号：R697.3[医药卫生—泌尿科学]