经尿道电切术与经膀胱摘除术治疗良性前列腺增生的安全性及疗效分析  

Curative effect and security of benign prostatic hypertrophy:comparison between suprapublic transvesical prostatectomy and Transurethral resection of the prostate

作　　者：任晓[1] 张志国[1] 李龙[1] 汤华章[1] 

机构地区：[1]浏阳市人民医院,湖南浏阳410300

出　　处：《中外医学研究》2011年第18期9-10,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的评价前列腺经膀胱摘除术(SPPC)和经尿道电切术(TURP)治疗良性前列腺增生症的安全性和疗效。方法良性前列腺增生患者153例,根据治疗方法分为SPPC组72例和TURP组81例,术后随访6个月～2年,记录并分析患者术前、术后术中相关临床指标。结果术前两组的一般情况差别无统计学意义(P>0.05)。SPPC组的手术时间、术中出血量、膀胱冲洗时间、置留导尿管时间、住院天数、并发症的发生率明显大于TURP组(P<0.05)。术后两组的IPSS、Qmax较术前明显改善(P<0.01)。两组均发生勃起功能障碍1例,TURP组发生逆行性射精3例,两组间比较差异无统计学意义(P>0.05)。结论 TURP治疗良性前列腺增生症疗效和安全性均高于SPPC,具有创伤少,出血少,术后恢复快等优点,值得进一步推广。Objective To compare the security and therapeutic effects of suprapublic transvesical prostatectomy（SPPC） and transurethral resection of the prostate（TURP） for the treatments of sympotamatic benign prostatic hypertrophy（BPH）.Methods 153 cases of sympotamatic BPH were treated with either SPPC or TURP.All of them were followed up for 0.5-2 years after operation.The significant markers and therapeutic results were recorded and analyzed.Results There was no significant difference between the two groups in some preoperative factors（P0.05）.The time of the operation,the blood loss in operation,the time of bladder irrigating after operation,the time of catheterization,the length of hospital stay and the complication ratio of SPPC were more than those of TURP.Significant difference was found between the two groups above the six marks（P0.05）.IPSS,Qmax were improved significantl compared with that of preoperative（P0.01）.There was 1 case of impotence in each group and 3 cases of retrograde ejaculation in TURP group.No significiant difference was found between the two groups（P0.05）.Conclusion TURP is more effective and security than SPPC,however,with less obtainment of adverse side effect and wider adaptation.It shoud be performed extensively.

关 键 词：前列腺增生 前列腺经膀胱摘除术 经尿道电切术 

分 类 号：R699[医药卫生—泌尿科学]