经尿道前列腺电切剜除术与耻骨上前列腺切除术治疗大体积前列腺增生疗效对比分析  

Comparative analysis of curative effect of transurethral resection of the prostate and suprapubic prostatectomy in the treatment of massive benign prostatic hyperplasia

作　　者：崔博 叶纯 王健 

机构地区：[1]武警边防部队总医院,518000

出　　处：《中国实用医药》2017年第16期43-45,共3页China Practical Medicine

摘　　要：目的对比分析经尿道前列腺电切剜除术(TUERP)与耻骨上前列腺切除术(SP)治疗大体积前列腺增生(BPH)的临床疗效。方法 100例大体积BPH患者为研究对象,随机分为对照组和观察组,各50例。对照组接受SP,观察组接受TUERP。对比两组患者的临床疗效。结果观察组术后国际前列腺症状(IPSS)评分、生命质量(QOLS)评分以及残余尿量(PVR)与对照组比较,差异无统计学意义(P>0.05);但其手术时间长于对照组,术后住院时间、留置尿管时间以及膀胱冲洗时间均短于对照组,前列腺腺体切除重量、血红蛋白减少量少于对照组,差异均有统计学意义(P<0.05)。对照组输血、术后尿路感染、术后膀胱出血比例分别为14.00%、20.00%、24.00%,均大于观察组的4.00%、6.00%、6.00%,术后尿失禁比例为2.00%,小于观察组的12.00%,差异均有统计学意义(P<0.05)。两组二次手术止血、拔管后尿潴留及术后尿道狭窄、心血管意外比例比较差异无统计学意义(P>0.05)。结论 TUERP与SP均可有效治疗大体积BPH,但相比之下TUERP可明显减少术后出血量,于预后十分有利,值得推广使用。Objective To compare and analyze the clinical curative effect of transurethral enucleative resection of the prostate（TUERP） and suprapubic prostatectomy（SP） in the treatment of massive benign prostatic hyperplasia（BPH）. Methods A total of 100 massive BPH patients as study subjects were randomly divided into control group and observation group, with 50 cases in each group. The control group received SP, and the observation group received TUERP. Clinical curative effect was compared in two groups. Results The observation group had no statistically significant difference in postoperative international prostatic symptom score（IPSS）, quality of life score（QOLS） and postvoid residua（PVR） comparing with the control group（P〉0.05）, but it had longer operation time and shorter postoperative hospital stay time, inurethral catheter time and bladder irrigation time than the control group, and less prostate gland excision weight and hemoglobin reduction than the control group. Their difference had statistical significance（P〈0.05）. The control group had higher proportion of blood transfusion, postoperative urinary tract infection, postoperative bladder bleeding respectively as 14.00%, 20.00% and 24.00% than 4.00%, 6.00% and 6.00% in the observation group, and lower postoperative urinary incontinence as 2.00% than 12.00% in the observation group. Their difference had statistical significance（P〈0.05）. Both groups had no statistically significant difference in proportion of secondary surgical bleeding, urinary retention after extubation, postoperative urethral stricture and cardiovascular accident（P〉0.05）. Conclusion Both TUERP and SP can be effective in treating massive BPH, but TUERP can obviously reduce postoperative bleeding volume, and it is conductive to prognosis. So it is worthy of promotion and use.

关 键 词：大体积前列腺增生 经尿道前列腺电切剜除术 耻骨上前列腺切除术 出血量 

分 类 号：R699.8[医药卫生—泌尿科学]