经尿道前列腺电切及经尿道电汽化术治疗良性前列腺增生症临床疗效比较  

Comparison of the therapeutic efficacy of transurethral electro-vaporization of prostate (TUVP) and transurethral resection of prostate (TURP) in benign prostate hyperplasia(BPH)

作　　者：蔡政[1] 卢建林[1] 张勇[1] 孙键[1] 

机构地区：[1]南京医科大学附属苏州市立医院本部泌尿科,江苏苏州215002

出　　处：《实用临床医药杂志》2011年第9期43-46,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨比较经尿道前列腺电汽化(TUVP)与经尿道电切术(TURP)治疗良性前列腺增生症(BPH)的临床疗效。方法将BPH 988例患者分为两组,TUVP组588例,TURP组400例,比较两组手术时间、术中出血、电切综合征发生率、血清钠离子、术后国际前列腺症状评分(IPSS)情况。结果 TUVP组患者手术时间、术中出血量、电切综合征发生率(TURS)、术后当天血清钠分别为(60.1±15.4)min、(132±25.2)mL、0.68%、(141.2±2.2)mmol/L,与TURP组比较差别有统计学意义(P<0.05)。术后1月TUVP组国际前列腺症状评分(I-PSS)(9.1±3.3)、生活质量评分(QOL)(1.8±1.1)、最大尿流率发(Qmax)(17.7±8.5)mL/s;TURP组分别为(9.2±3.8)、(1.9±1.3)(、17.6±9.1)mL/s,两组比较差异无统计学意义(P>0.05)。结论 TUVP与TURP治疗BPH疗效基本一致,但TUVP更安全,并发症少,适应证更广。若两者联合应用疗效更佳。Objective To compare the therapeutic efficacy of transurethral electro-vaporization of prostate（TUVP） and transurethral resection of prostate（TURP） in benign prostate hyperplasia（BPH）.Methods 988 patients with BPH were divided into two groups： 588 cases by TUVP and 400 cases by TURP.Operation time,blood loss during operation,transurethral resection syndromes（TRUS）,serm natrium and international prostate symptom score（IPSS） after operation were assessed in both groups.Results Operation time,blood loss during operation,TRUS and serum natrium were（60.1±15.4） min,（132±25.2） mL,0.68% and（141.2±2.2） mmol/L respectively in TUVP group,which were statistically different compared with the index in TURP group（P0.05）.One month after operation,IPSS,quality of life（QOL） and Qmax were（9.1±3.3）,（1.8±1.1） and（17.7±8.5） mL/s respectively in TUVP group,and（9.2±3.8）,（1.9±1.3） and（17.6±9.1） mL/s in TURP group.There was no statistical difference between the two groups（P0.05）.Conclusion TUVP and TURP have the same therapeutic efficacy for BPH patients.However,TUVP is safer with less complications and more operation indications.There will be more benefits if the two methods in operation are combined.

关 键 词：良性前列腺增生 经尿道前列腺电汽化术 经尿道前列腺电切术 

分 类 号：R697[医药卫生—泌尿科学]