经尿道前列腺等离子双极电切术与耻骨上经膀胱前列腺切除术治疗良性前列腺增生的疗效和安全性比较  

Comparison on Therapeutic Effect of Operation of Transurethral Plasmakinetic Resection of Prostate with Suprapubic Transvesical Prostatectomy for Benign Prostatic Hyperplasia

作　　者：甘露[1] 曾静[1] 黄桂晓[1] 赵磊[1] 段启林[1] 李伟东[1] 

机构地区：[1]深圳市第五人民医院泌尿外科,广东深圳518000

出　　处：《医学综述》2014年第5期959-960,F0003,共3页Medical Recapitulate

摘　　要：目的比较经尿道前列腺等离子双极电切术(TKRP)与耻骨上经膀胱前列腺切除术(SPP)治疗良性前列腺增生症(BPH)的临床疗效和安全性。方法观察组为深圳市第五人民医院2010年1月至2012年12月采用TKRP治疗的80例BPH患者;对照组为同期采用SPP治疗的60例中老年BPH患者。比较两组患者的手术时间、术中出血量、膀胱冲洗时间、尿管留置时间、住院时长,以及术后随访6个月的并发症、临床指标改善情况以及性功能障碍情况。结果观察组手术时间(min)、术中出血量(mL)、留置导尿时间(d)、住院时长(d)均显著低于对照组[(59.3±9.7)min vs(102.5±13.7)min、(112.6±7.7)mL vs(201.3±10.5)mL、(6.3±0.6)d vs(14.5±0.8)d、(5.0±0.5)d vs(12.8±0.8)d](P<0.05);术后随访6个月,观察组并发症发生率均显著低于对照组(P<0.05),两组患者临床指标均有显著改善(P<0.05),且观察组患者改善程度更加显著(P<0.05),观察组患者的性功能障碍发生率低于对照组(P<0.05)。结论 TKRP治疗BPH安全有效,具有手术时间短、出血量少、创伤小等优点,增加了高危患者对手术的耐受性且对患者的性功能影响较小。Objective To compare the clinical efficacy and safety of transurethral plasmakinetic resection of prostate（TKRP） and suprapubic transvesical prostatectomy（SPP） for benign prostatic hyperplasia（BPH）.Methods The observation group was 80 BPH patients treated by Shenzhen Fifth People＇s Hospital with TKRP from Jan.2010 to Dec.2012.The control group was 60 BPH patients treated with SPP during the same period.The operation time,bleeding in operation,bladder washing time,the catheter preservation time,hospitalization time,and the complications within 6 months followup after surgery,clinical situations improvement and sexual dysfunctions were compared between the two groups.Results The operation time（min）,bleeding in operation（mL）,the catheter preservation time（d）,hospitalization time（d） of the observation group were significantly lower than those of the control group[（59.3±9.7） min vs （102.5±13.7） min,（112.6±7.7） mL vs （201.3±10.5） mL,（6.3±0.6） d vs （14.5±0.8） d,（5.0±0.5） d vs （12.8±0.8） d]（P〈0.05）;and during the 6 months of followup,the complications of the observation group were lower than the control group（P〈0.05）,conditions of all the patients were improved significantly（P〈0.05）,and the observation group improved more significantly than the control group（P〈0.05）,the occurrence rate of sex dysfunctions in the observation group was lower（P〈0.05）.Conclusion TKRP is effective in treating BPH and has the advantages of shorter operation time,small trauma,less blood loss,less effect on sexual function and increased tolerance of high-risk patients for surgery.

关 键 词：良性前列腺增生 经尿道前列腺等离子双极电切术 耻骨上经膀胱前列腺切除术 

分 类 号：R699.6[医药卫生—泌尿科学]