经尿道前列腺等离子剜除术与经尿道前列腺电切术治疗前列腺增生临床疗效分析  

Effect Comparison on Transurethral Enucleation of Prostate and Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia

作　　者：何斌[1] 倪浩东[1] 唐庆生[1] 奚鹏山[1] 周训荣[1] 潘志华[1] 屈维龙[2] HE Bin;NI Hao-dong;TANG Qing-sheng;XI Peng-shan;ZHOU Xun-rong;PAN Zhi-hua;QU Wei-long(Department of Urology Surgery, Dongtai People＇s Hospi- tal, Dongtai 224200, Jiangsu, China;Department of Urology Surgeu, The Second People＇s Hospital of Kun- shah, Kunshan 215300, Jiangsu, China)

机构地区：[1]江苏省东台市人民医院泌尿外科,东台224200 [2]江苏省昆山市第二人民医院泌尿外科,昆山215300

出　　处：《中国现代手术学杂志》2018年第1期52-55,共4页Chinese Journal of Modern Operative Surgery

基　　金：苏州市科学技术局医疗卫生应用基础研究指导性立项(编号:SYSD2016039)

摘　　要：目的比较经尿道前列腺等离子剜除术与经尿道前列腺电切术治疗前列腺增生的疗效。方法选取2015年1月~2016年5月我院收治的前列腺增生患者120例,按随机数字表分为两组,各60例。观察组行经尿道前列腺等离子剜除术治疗,对照组行经尿道前列腺电切术治疗,比较两组术中、术后指标和远期疗效。结果观察组术中失血量及手术时间均低于对照组,切除腺体体积大于对照组,差异均有统计学意义(P<0.05),术后持续膀胱冲洗时间、术后留置导尿管时间及住院时间均短于对照组,差异均有统计学意义(P<0.05)。术后6个月观察组IPSS、PVR均低于对照组,Qmax高于对照组,差异均有统计学意义(P<0.05);两组QOL评分比较,差异无统计学意义(P>0.05)。结论经尿道前列腺等离子剜除术治疗前列腺增生效果可靠,创伤小,患者恢复快,可有效改善术中及术后情况,提高远期疗效,值得推广。Objective To compare the efficacy of plasmakinetic transurethral enucleation of prostate（TUERP） and transurethral resection of the prostate（TURP） for benign prostatic hyperplasia. Methods A total of 120 cases with benign prostatic hyperplasia（BPH） from January 2015 to May 2016 were divided into two groups randomly according to the number random table,with 60 cases for each group. The observation group was performed TUERP and the control group was treated by TURP. The index of intra-and post-operation and long-term effect was compared between two groups. Results Compare to the control group,the intraoperative blood loss and operation time were lower,and the gland resection volume was more in the observation group,and there was statistical difference between two groups（P〈0.05）. The duration of bladder irrigation,the time of indwelling catheter and the length of hospital stays in the observation group were shorter than those in the control group,and the difference was statistically significant（P〈0.05）. The IPSS score and PVR level were lower,but Qmax was higher of the observation than those of the control group 6 months after the operation,and the differences were statistically（P〈0.05）. Conclusion TUERP would achieve more benefit reliable effect for BPH,and it can improve intra-and postoperative conditions and increase long-term curative effect.

关 键 词：前列腺增生 经尿道前列腺等离子剜除术 经尿道前列腺电切术 

分 类 号：R697.32[医药卫生—泌尿科学]