TUPKP对良性前列腺增生切除术中出血量、持续膀胱冲洗时间、尿管留置时间的影响  

Effects of TUPKP on blood loss,duration of bladder irrigation and indwelling time of catheter in benign prostatic hyperplasia

作　　者：邹火生[1] 黄裕清[1] 余自强[1] 

机构地区：[1]梅州市人民医院泌尿外科,广东梅州514000

出　　处：《现代医学》2017年第4期479-482,共4页Modern Medical Journal

摘　　要：目的:探讨经尿道前列腺等离子切除术(TUPKP)对前列腺增生的治疗效果及术中出血量、持续膀胱冲洗时间、尿管留置时间的影响。方法:回顾性分析2006年3月至2016年1月在我院接受治疗的前列腺增生患者的临床资料,根据其治疗方式分为TUPKP组和经尿道前列腺电切术(TURP)组。观察两组患者手术一般情况,比较两组患者手术前后实验室指标、并发症发生率和术后恢复情况的差异。结果:TUPKP组患者手术时间、术后持续膀胱冲洗时间和术后导尿管留置时间较TURP组短,术中出血量较TURP组少,前列腺切除质量较TURP组大,差异具有统计学意义(P<0.05);两组患者电切综合征、尿道狭窄和继发性出血发生率差异无统计学意义(P>0.05);两组患者术后1、3和6个月时的前列腺症状评分(IPSS)、生活质量(QOL)和最大尿流率(Qmax)差异无统计学意义(P>0.05)。结论:TUPKP对前列腺增生有较好的治疗效果,可明显降低患者术中出血量,缩短持续膀胱冲洗和尿管留置时间,具有临床推广应用价值。Objective： To investigate the therapeutic effect of transurethral plasmakinetic resection of prostate（ TUPKP） on benign prostatic hyperplasia and the effect of intraoperative blood loss,duration of bladder irrigation and indwelling time of catheter. Methods： Retrospective analysis was used to analyze the clinical data of patients with benign prostatic hyperplasia treated in our hospital from March 2006 to January 2016. According to the treatment,they were divided into TUPKP and transurethral resection（ TURP） group. Observed the general surgery of the two groups,compared the laboratory indicators,complications and postoperative recovery of the patients in the two groups before and after surgery. Results： The operative time,postoperative bladder irrigation time and operation after indwelling catheter time of TUPKP group were shorter than TURP group,the intraoperative bleeding was less than TURP group,but resection of the prostate quality was more than TURP group（ P〈0. 05）; The incidence of transurethral resection syndrome,urethral stricture and secondary bleeding of the two groups had no significant difference（ P〉0. 05）; The Qmax,QOL and IPSS scores of the two groups at 1,3 and 6 months after surgery had no significant difference（ P〉0. 05）. Conclusion： TUPKP has good therapeutic effect on benign prostatic hyperplasia,which can reduce the amount of bleeding, shorten the time of bladder irrigation and indwelling catheter,and has the value of clinical application.

关 键 词：经尿道前列腺等离子切除术 前列腺增生 并发症 持续膀胱冲洗 

分 类 号：R697.3[医药卫生—泌尿科学]