经尿道前列腺等离子剜除术联合耻骨上小切口治疗高危、超大前列腺增生的临床效果  

Investigation on the clinical effect of transurethral resection of prostate plasma and small suprapubic incisions in treatment of high-risk hypertrophic prostatic hyperplasia

作　　者：张义[1] 周琦[1] 廖文彪[2] 宋超[2] 喻华[1] ZHANG Yi;ZHOU Qi;LIAO Wenbiao;SONG Chao;YU Hua(Department of Urology, Hanchuan Peopler's Hospital ,Hanchuan 431600,Hubei, China;Department of Urology,People's Hospital of Wuhan University,Wuhan 430060,Hubei,China)

机构地区：[1]汉川市人民医院泌尿外科,湖北汉川431600 [2]武汉大学人民医院泌尿外科,武汉430060

出　　处：《中国性科学》2019年第4期22-25,共4页Chinese Journal of Human Sexuality

基　　金：国家自然科学基金资助项目(31400835)

摘　　要：目的探讨经尿道前列腺等离子剜除术联合耻骨上小切口治疗高危、超大前列腺增生的临床效果。方法选取2015年1月至2017年1月汉川市人民医院诊治的120例高危、超大前列腺增生患者进行回顾性分析。根据患者接受手术的不同将其分为两组,其中对照组60例行经尿道前列腺电切术,观察组60例行经尿道前列腺等离子剜除术联合耻骨上小切口治疗。观察两组患者手术时间、出血量、膀胱冲洗时间、取出组织重量、术后并发症、IPSS评分、膀胱残余尿量和最大尿流率。计数资料采用卡方检验进行分析,计量资料采用t检验进行分析。结果对照组手术时间、出血量、膀胱冲洗时间、取出组织重量分别为(74.59±17.69)min,(64.75±9.29) ml,(7.17±1.29) min,(108.79±9.95) g明显大于观察组的(63.86±16.74)min,(51.03±10.14) ml,(5.09±1.33)min,(87.13±9.07)g,差异具有统计学意义(P<0.05)。治疗后对照组IPSS、膀胱残余尿量分别为(63.86±16.74)分,(51.03±10.14) ml明显高于观察组的(58.43±14.81)分,(44.29±8.93)ml,差异具有统计学意义(P<0.05)。治疗后对照组最大尿流率为(10.92±4.27)ml/L明显低于对照组的(18.31±5.96)ml,差异具有统计学意义(P<0.05)。对照组并发症发生率为6.0%(3/50)与观察组的4.0%(2/50)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联合耻骨上小切口治疗高危、超大前列腺增生与经尿道前列腺电切术相比可缩短手术时间、减少出血量、减少取出组织重量,降低IPSS评分、减少膀胱残余尿量、提高最大尿流率。Objective To investigate the clinical effect of transurethral resection of prostate plasma and small suprapubic incisions on high-risk hypertrophic prostatic hyperplasia.Methods A retrospective analysis of 120 patients with high-risk, hypertrophic prostatic hyperplasia treated in our hospital from January 2015 to January 2017 was performed. According to the surgerypatients underwent, they were divided into two groups, of which 60 patients in the control group underwent transurethral resection of the prostate, and 60 ones in the observation group underwent transurethral resection of the prostate plasma combined with small suprapubic incisions. The operation time, blood loss, bladder irrigation time, tissue weight, postoperative complications, IPSS score, bladder residual urine volume and maximum flow rate were observed. Counting data was analyzed using chi-square test and measurement data was analyzed using t-test analysis. Results The operation time, bleeding volume, bladder irrigation time, the tissue weight were(74.59±17.69) min,(64.75±9.29) ml,(7.17±1.29) min and(108.79 ± 9.95)g accordingly in the control group, which were significantly higher than those of the observation group of(63.86±16.74) min,(51.03±10.14)ml,(5.09±1.33) min and(87.13±9.07) g, with statistically significant differences(P<0.05).After treatment, the IPSS and residual urine volume of the control group were(63.86±16.74),(51.03±10.14) ml, which were significantly higher than that of the observation group(58.43±14.81),(44.29±8.93) ml, with statisticallysignificant difference(P<0.05). After treatment, the maximum urinary flow rate of the control group was(10.92±4.27) ml/L, which was significantly lower than that of the control group(18.31±5.96) ml, with statisticallysignificant difference(P<0.05). The incidence of complications in the control group was 6.0%(3/50) and 4.0%(2/50) in the observation group, withoutstatistically significant difference(P>0.05). Conclusions Compared withtransurethral resection of the prostate,transurethra

关 键 词：经尿道前列腺等离子剜除术 耻骨小切口 高危 超大前列腺增生 

分 类 号：R698[医药卫生—泌尿科学]