经尿道前列腺等离子剜除术治疗前列腺增生的疗效观察  

Curative effect observation of transurethral plasmakinetic enucleation of prostate in treatment of benign prostatic hyperplasia

作　　者：胡鹏[1] 李钢[1] 刘中文[1] 

机构地区：[1]四川省绵竹市人民医院泌尿外科,618000

出　　处：《临床合理用药杂志》2017年第2期14-15,18,共3页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的观察经尿道前列腺等离子剜除术(TUERP)治疗前列腺增生(BPH)的临床疗效。方法回顾性分析医院泌尿外科进行手术治疗的BPH患者176例,根据手术方式不同分为观察组(86例)和对照组(90例),观察组予以TUERP治疗,对照组予以经尿道前列腺电切术(TURP)治疗。比较2组手术时间、切除前列腺体积、术中出血量、膀胱冲洗时间、留置导尿管时间、术后住院时间及术中出血量,观察2组术前及术后6个月国际前列腺症状评分(IPSS)、生活质量评分(QOL)评分、膀胱残余尿量(PVR)及最大尿流率(Qmax)评价远期疗效。结果观察组前列腺切除体大于对照组(P<0.01);观察组手术时间短于对照组(P<0.01);观察组出血量少于对照组(P<0.01);观察组膀胱冲洗时间、留置导尿时间和术后住院时间均短于对照组(P<0.01);2组IPSS、QOL评分、PVR在术后6个月时均低于术前,Qmax高于术前(P均<0.05);2组IPSS、QOL评分、PVR、Qmax在术后6个月时比较差异无统计学意义(P>0.05)。结论与TURP相比,TUERP治疗BPH治疗时间更短,组织切除更完全,患者恢复更快。Objective To observe the effect of transurethral plasmakinetic enucleation of prostate （TUERP） in treatment of benign prostatic hyperplasia（BPH）. Methods Retrospective analysis of 176 patients with BPH who underwent surgical treatment in the department of urology of the Mianzhn People＇s Hospital. The were divided into observation group （n =86 cases） and control group （n = 90 cases） according to different surgical methods. The observation group was treated with TU- ERP. The control group was treated by transurethral resection of prostate （TURP）. The operation time, resected prostate volume, the amount of bleeding during operation, the time of bladder irrigation, the time of indwelling catheter and the length of hospital stay were compared between in the two groups. Compared the two groups before and after the operation of 6h for International Prostate Symptom Score （IPSS）, quality of life score （QOL） score, bladder residual urine volume （PVR） and maximum urinary flow rate （Qmax） ,in order to evaluate the long-term effect. Results The prostatic resection volume of observation group was more than that of the control group （P 〈 0.01 ） ;The operation time of the observation group was shorter than that of the control group （P 〈 0.01 ） ;The amount of bleeding in the observation group was less than that in the control group （P 〈0.01 ）;The bladder irrigation time, catheterization time and postoperative hospitalization time of the observation group were all shorter than the control group （P 〈 0.01 ） ;After 6 months, the IPSS, QOL score and PVR in the two groups were lower than that before the operation, and Qmax was higher than that before the operation （ P 〈 0.05 ） ; But there was no significant difference in IPSS, QOL score, PVR, Qmax between the two groups （P 〉 0. 05 ）. Conclusion Compared with TURP, the treatment time is shorter, the tissue resection is more complete, patients recover faster with TUERP in the treatment of the patients with BPH.

关 键 词：经尿道前列腺等离子剜除术(TUERP) 经尿道前列腺电切术(TURP) 前列腺增生(BPH) 疗效 

分 类 号：R699.8[医药卫生—泌尿科学]