两种前列腺电切术治疗良性前列腺增生的临床效果对比研究  

Comparative Research on Clinical Effect of Two Turbs in Treatment of Be-nign Prostatic Hyperplasia

作　　者：杨煜 陈锐永 李力 李永林 杨绍文 周永兴 

机构地区：[1]云南省红河州泸西县人民医院泌尿外科,云南泸西652400

出　　处：《中外医疗》2017年第3期93-96,共4页China & Foreign Medical Treatment

摘　　要：目的对比研究PTUVP与TURP治疗良性前列腺增生的临床效果。方法研究组方便选择2014年1月—2016年6月在该院泌尿外科治疗的78例前列腺增生患者,实施该院改进的PTUVP;对照组为76例同期在该院实施TURP的患者,将两组手术时间、切除组织重、术中出血量、冲洗液量、留置尿管时间、平均住院时间、并发症发生率和术后随访效果进行对比研究。结果 TURP和PTUVP在平均手术时间分别为(65.2±9.9)min和(55.9±11.3)min、术中出血量分别为(196.9±33.6)m L和(130.2±18.6)m L,平均住院时间分别为(7.9±0.9)d和(4.2±0.7)d,差异有统计学意义(P<0.05);在并发证出现方面,TURP和PTUVP在术中出血(分别为6.6%和1.3%)、术后出血(分别为2.6%和0.0%)、膀胱颈挛缩分别为3.9%和1.3%、尿道外口狭窄分别为5.3%和1.3%、术后尿路感染分别为6.7%和0.0%、TURP综合证方面(分别为3.9%和0.0%)明显优于TURP(P<0.05);随访4个月和12个月时,研究组与对照组患者的IPSS4个月时分别为(8.9±1.2)和(9.3±1.0),12个月时分别为(7.3±0.2)和(7.6±0.6)、QOL 4个月时分别为(1.7±0.3)和(1.8±0.2),12个月时分别为(1.6±0.3)和(1.7±0.2)、RUV 4个月时分别为(25.6±5.1)和(26.8±4.9),12个月时分别为(20.1±3.2)和(21.3±4.4)、Q mas 4个月时分别为(17.5±1.1)和(18.2±1.2),12个月时分别为(17.5±3.6)和(19.4±4.6)均与手术前的差异有统计学意义(P<0.05),但是PTUVP与TURP研究组与对照组组间差异无统计学意义(P>0.05)。结论 TURP与PTUVP治疗良性前列腺增生的临床效果接近,但是PTUVP治疗安全性更高,患者经济负担小,并发症发生率更低,值得推广。Objective To com paratively re se a rch th e c l in ic a l effect ofPTUVP an d TURP in tre a tm en t of b en ig n p ro sta tic hyperplas ia. Methods Convenient s ele ct ion 78 cases of p a t ien ts with p ro sta tic h y p e rp la s ia tre a ted in our h o sp i ta l from J a n -uary 2014 to June 2016 were selected and were given the improved PTUVP, and 76 cases in the control group adopted the TURP, and the operat ive time, intraoperat ive bleeding amount, flushing liquor, ur inary canal indwell ing time, average length of stay, incidence rate of complicat ions and pos toperative fol low-up effect were compared and researched. Results T he d if-ferences in the average operat ive time, intraoperat ive bleeding amount and average length of stay between the TURP groupand PTUVP group had stat is t ical signif icance[65.2±9.9）min vs（55.9±11.3）min, （196.9±33.6）mL vs （130.2±18.6）mL, （7.9土 0.9）d vs （4.2±0.7）d],（P〈0.05）, and the intraoperative bleeding, pos toperative bleeding, bladder neck contracture, externalorifice s tr icture, pos toperative urinary tract infect ion and syndrome in the TURP group were obviously bet ter than those inthe PTUVP group, （6.6%, 2.6%, 3.9%, 5.3%, 6.6%, 3.9% vs 1.3%, 0.0%, 1.3%, 1.3%, 0.0%, 0.0%, （P〈0.05）, and the IPSS, QOL, RUV, Q mas in the research group at 4-month fol low-up were respectively （9.3±1.0）, （1.7±0.3）, （25.6±5.1） and （17.5±1.1） and at 12-month fol low-up were respectively （7.3±0.2）, （1.6±0.3）, （20.1±3.2） and （17.5±3.6） , the IPSS, QOL, RUV, Q mas in the control group at 4-month fol low-up were respectively （8.9±1.2）, （1.8±0.2）, （26.8±4.9） and（18.2±1.2） and at 12-month fol low-up were respectively （7.6±0.6）, （1.7±0.2）, （21.3±4.4） and （19.4±4.6）, and al l differ-ences had stat ist ical signif icance compare with those before operat ion （ P 〈 0 .0 5 ） , b u t th e d ifferences in th e PTUV

关 键 词：良性前列腺增生症 经尿道前列腺汽化电切术 改进经尿道前列腺汽化电切术 

分 类 号：R699[医药卫生—泌尿科学]