经直肠微波治疗对经尿道前列腺电切术中出血量的影响的前瞻性研究  

A prospective study of the efficacy of Transrectal Microwave on the operative bleeding in Transurethral Resection of The Prostate

作　　者：赵晓风[1] 张豫才[1] 张建海[2] 杨婕[2] 刘亮[1] 潘家波 王顺雨[1] 赵志斌[1] 

机构地区：[1]北京市健宫医院泌尿外科,北京100054 [2]北京市健宫医院病理科,北京100054

出　　处：《临床医药文献电子杂志》2015年第16期3161-3163,共3页Electronic Journal of Clinical Medical Literature

摘　　要：目的探讨经直肠微波治疗前列腺增生对经尿道前列腺电切术(TURP)中出血的影响。方法前瞻性设计,将预实施TURP的良性前列腺增生(BPH)的患者随机分为两组,分别为微波组19例:TURP前行经直肠微波治疗1疗程(1次/d,10次为1疗程);对照组21例:TURP前不做特殊治疗。记录前列腺体积(PV),前列腺特异性抗原(PSA),术前及术后一个月IPSS评分,生活质量(QOL)评分,最大尿流率(MFR);记录手术时间,切除前列腺重量、出血量并计算切除每克组织出血量,记录术后膀胱冲洗天数,术后住院天数。结果所有病例手术成功,微波组和对照组平均出血量分别为(170.3±67.8)m L,(301.6±110.9)m L,差异有统计学意义(t=-0.461,P<0.05);切除每克组织出血量分别为(6.41±0.80)m L,(8.06±0.80)m L,差异有统计学意义(t=-6.083,P<0.05);两组术后一个月IPSS,QOL,MFR均较术前有明显改善,两组间比较差异无统计学意义(P<0.05);两组手术时间,切除前列腺重量,术后膀胱冲洗天数,术后住院天数比较,差异均无统计学意义(P>0.05)。结论术前行经直肠前列腺微波治疗可显著减少TURP术中出血量。Objective To investigate the efficacy of Transrectal Microwave on the operative bleeding during transurethral resection of the prostate（TURP）. Methods Patiens were devided to 2 groups： Microwave group（19）：Treated with 1 week＇s Transrectal Microwave before TURP; Control group： No treatment before TURP. The prostate volume（PV）, prostate specific antigen（PSA）, international prostate symptom score IPSS, quality of life（QOL）, maximal flow rate（MFR）, operative time, days of bladder irrigation and days of stay in hospital after TURP, operative bleeding and weight of resected prostatic tissue were recorded, operative bleeding / resected prostatic tissue were calculated. The differences of the parameters above were compared between the 2 groups.Results All of the operations were successful. The mean operative bleeding were（170.3±67.8）ml,（301.6±110.9）m L（ t =- 0. 461, P 〈0. 05） in the microwave group and the control group, respectively. The operative bleeding/resected prostatic tissue were（6.41±0.80） m L,（8.06±0.80） m L（t=-6.083,P〈0.05）in the microwave group and the control group, respectively. Both the microwave group and the control group had significant improves in The IPSS, QOL, MFR after TURP, but no significant differences of improves were found（P〉0.05）, and neither the significant differences of the PV, PSA, operative time, days of bladder irrigation and days of stay in hospital after TURP were found（P〉0.05）.Conclusions Pretreated with Transrectal Microwave can significantly decrease the operative bleeding during TURP.

关 键 词：良性前列腺增生 经直肠微波 经尿道前列腺电切术 术中出血 

分 类 号：R669[医药卫生—外科学]