经尿道前列腺电切术与剜除术治疗良性前列腺增生的临床疗效观察  

Observation on the clinical therapeutic effect of transurethral enucleative resection of prostate and transurethral resection of prostate applied in patients with benign prostatic hyperplasia

作　　者：管德辉[1] 刘学宁[2] 曾宪辉[1] 蒋东鹏[1] 陈阳[1] 张磊[1] 韩建军[1] 

机构地区：[1]武警黑龙江总队医院泌尿外科,哈尔滨150076 [2]武警黑龙江总队医院疾病预防科,哈尔滨150076

出　　处：《中华灾害救援医学》2016年第3期145-148,共4页Chinese Journal of Disaster Medicine

摘　　要：目的通过回顾性分析临床资料,对比经尿道前列腺电切术(transurethral resection of the prostate,TURP)与经尿道前列腺剜除术(transurethral enucleative resection of prostate,TUERP)治疗良性前列腺增生(benign prostatic hyperplasia,BPH)的疗效。方法采用TURP治疗BPH患者93例(TURP组),采用TUERP治疗BPH患者86例(TUERP组),每组依据前列腺质量又分为≥60 g组和<60 g组。统计比较每组手术时间、出血量、切除前列腺质量,术中术后并发症发生情况。结果所有手术均顺利完成;两种术式并发症发生情况比较,差异无统计学意义。前列腺≥60 g组:与TUERP组比较,TURP组出血量多(t=10.468,P<0.001)、切除前列腺质量小(t=4.936,P<0.001),差异有统计学意义;而手术时间的比较,差异无统计学意义(t=1.653,P=0.066)。<60 g组:两组手术时间、出血量、切除前列腺质量比较,差异均无统计学意义。结论对于前列腺较大(≥60 g)BPH患者,应用TUERP出血量少,前列腺切除质量高,随着术者经验的丰富、手术技术的熟练,TUERP可取代TURP治疗较大前列腺;对于前列腺较小(<60 g)BPH患者,TUERP术与TURP术无明显差异,术者可根据经验及患者情况选择术式。Objective To compare clinical effect of transurethral enucleative resection of prostate（TUERP） with transurethral resection of prostate（TURP） in treating patients with benign prostatic hyperplasia（BPH）, its clinical data were retrospectively analyzed. Methods 93 patients treated with TURP（TURP group） and 86 patients treated with TUERP（TUERP group） were included. Then each group were divided into two groups（ ≥ 60 g group and〈 60 g group） based on mass of prostate. Operation time, blood loss volume,weight of resected prostate and complications were compared among groups. Results All operations were successfully completed;surgical complications of patients applied different operation method were compared, and there was no statistically significant difference. For patients with prostate larger than 60 g, compared with TUERP group, blood loss volume was larger（t=10.468, P〈0.001） and weight of resected prostate was smaller（t=4.936, P〈0.001） in TURP group, and the differences were statistically significant; but there was no significant difference in operation time between two groups（t=1.653,P=0.066）. For patients with prostate smaller than 60 g,there was no significant difference in operation time,blood loss and weight of resected prostate between the two groups. Conclusions Compared with TURP,TUERP has advantages of less blood loss and higher resected prostate weight in the treatment of patients with BPH larger than 60 g. With improvement of surgeon experience and development of operation techniques,TURP could be replaced by TUERP. For patients with prostate smaller than 60 g, TRUP and TUERP have no obvious difference, operation modality should be chosen by surgeon based on his experience and condition of patients.

关 键 词：良性前列腺增生 经尿道前列腺电切术 经尿道前列腺剜除术 

分 类 号：R69[医药卫生—泌尿科学]