两种术式经尿道手术治疗小体积前列腺增生的比较  

Comparison of two methods of transurethral surgical treatment for small size prostatic hyperplasia

作　　者：刘南[1] 李元[1] 罗宏[1] 戴君勇[1] 鲜鹏[1] 宋彦平[1] 彭健康[1] 

机构地区：[1]重庆市肿瘤研究所泌尿外科,400030

出　　处：《重庆医学》2013年第21期2463-2465,共3页Chongqing medicine

摘　　要：目的比较经尿道前列腺电切术(TURP)和TURP联合经尿道膀胱颈切开术(TUIBN)治疗小体积前列腺增生的疗效。方法分析2002年3月至2010年10月小体积前列腺增生患者的治疗资料,患者共124例,随机分为TURP组62例,有完整随访资料的54例,TURP联合TUIBN组62例(联合组),有完整随访资料的50例。比较两组患者术前、术后国际前列腺症状评分(IPSS)、最大尿流率(Qmax)、残余尿量(PVR)等指标,以评估疗效。结果术前两组患者年龄、病程、前列腺质量、IPSS、Qmax、PVR之间差异无统计学意义(P>0.05);术后两组IPSS、Qmax和PVR相比较,差异有统计学意义(P<0.01);联合组术后膀胱颈挛缩的发生率为4%,明显低于TURP组11%,两组比较差异有统计学意义(P<0.01);术中组织切除量、术后随访时间相比较差异无统计学意义(P>0.05)。结论与TURP相比,TURP联合TUIBN是治疗小体积前列腺增生的一种较为理想的术式。Objective To compare the effect of transurethral resection of prostate（TURP） and TURP combine with transure- thral incision of the bladder neck（TUIBN） in the treatment of small size prostate hyperplasia. Methods From March 2002 to Octo- ber 2010,124 cases of small-size prostate hyperplasia patients were treated. All patients were randomized to undergo TURP or TURP with TUIBN. There were 62 patients in TURP group. Of which,54 cases were followed up. There were 62 patients in TURP plus TUIBN group. Of which, 50 cases were followed up. The treatment effect of the two different surgical methods was evaluated by comparing international prostate symptom（IPSS）,maximum flow rate（Qmax） and post voiding residual urine volume（PVR） et al. Results No statistical difference（P〉0.05）was found in age,medical histories,prostatic weight,IPSS,Qmax,PVR between the two groups before operation. But significant difference（P〈0.01）was observed in IPSS, Qmax, PVR between the two groups after operation. There was no statistical difference（P〉0.05） in resected tissue weight and follow up between the two groups. The inci- dence rate of bladder neck contracture was 4% in TURP plus TUIBN group, and it was significantly lower than that of TURP group（11%） （P〈0. 01）. Conclusion TURP plus TUIBN was better for the treatment of small size prostatic hyperplasia than TURP.

关 键 词：前列腺增生 经尿道前列腺切除术 经尿道膀胱颈切开术 

分 类 号：R699[医药卫生—泌尿科学]