前列腺尖部推切法治疗良性前列腺增生症125例疗效观察  

The Retrograde Resection of the Middle Lobe of the Prostate for the Treatment of Benign Prostatic Hyperplasia: A Report of 125 Cases

作　　者：文永安 陈世柱 齐光华 刘磊 王鹏 吴忠强 

机构地区：[1]西藏民族学院附属医院泌尿外科,陕西咸阳712000

出　　处：《泌尿外科杂志（电子版）》2016年第2期36-39,共4页Journal of Urology for Clinicians(Electronic Version)

基　　金：西藏自治区科技厅自然基金资助课题资助(2015ZR-13-22)

摘　　要：目的探讨经尿道前列腺切除术中前列腺尖部腺体的切除方法,分析比较对前列腺尖部腺体采用尖部推切法与顺行切除法两种方法的疗效差异。方法 2012年1月至2016年1月间,对125例良性前列腺增生（benign prostate hyperplasia,BPH）患者采用经尿道等离子前列腺电切术按对尖部腺体切除方法的不同随机分为尖部腺体逆行尖部推切组（观察组）和顺行切组（对照组）治疗并随访3~12个月,平均6.8个月。结果全组125例手术均获得成功,无中转开放手术及大出血等严重并发症。98例获得6个月以上的随访。其中观察组51例、对照组47例。两组在年龄组成、病程、术前前列腺质量（W）、剩余尿量（RUV）、国际前列腺症状评分（IPSS）、生活质量评分（QOL）最大尿流率（Qmax）方面的差异无统计学意义（P〉0.05）。两组在手术时间、切除组织量及术后住院时间方面差异无统计学意义（P〉0.05）。术后6个月,两组在IPSS、QOL、RUV及Qmax方面比较,观察组优于对照组,差异有统计学意义（P〈0.05）。结论在经尿道前列腺切除术中,采用前列腺尖部推切法法较顺行切除法有更好的近期治疗效果。Objective To explore a new method of retrograde resection of the middle lobe of the prostate for the treatment of benign prostatic hyperplasia（ BPH）. Methods From Jan. 2012 to Jan 2016,125 cases of BPH patients underwent transurethral resection of prostate（ TURP）. These cases were randomized divided into retrograde resection（ observation group） and anterograde resection group（ control group）. Both groups were followed up for 3 to 12 months（ average 6. 8 months）. Results All the 125 cases were successful with no serious complications,such as conversion to open surgery or heavy bleeding. 98 cases were followed up for more than 6months,in which 51 cases in the observation group and 47 cases in the control group. There were no statistical differences between the two groups on the ages,preoperative prostate weights（ W）,residual urine volumes（ RUV）,International Prostate Symptom Scores（ IPSS）,quality of life（ QOL） scores and maximal urinary flow rates（ Qmax）（ P 0. 05）. There were also no significant differences between the two groups on the operation time,resected tissue volumes,and postoperative hospital stay（ P 0. 05）. The IPSS,QOL,RUV and Qmax of the observation group 6 months postoperatively were better than those of the control group,the differences were statistically significant（ P 0. 05）. Conclusions In the transurethral resection of the prostate,the method of retrograde resection of the middle lobe of the prostate achieved better effects with short follow up.

关 键 词：良性前列腺增生症 前列腺尖部推切法 经尿道前列腺切除术 

分 类 号：R699.8[医药卫生—泌尿科学]