TVERP在前列腺增生患者中的近远期疗效分析  

作　　者：黄法江 田文俊[1] 楼朝明[1] 吴小将[1] 黄生强[1] 傳淑萍 

机构地区：[1]浙江省浦江县人民医院,322200

出　　处：《浙江临床医学》2020年第10期1454-1456,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省金华市科学技术局社会发展类重点项目(2017-3-026)。

摘　　要：目的探究经改良尿道前列腺汽化剜切术(TVERP)在前列腺增生患者中的近远期疗效。方法选取自2017年1月至2018年6月间接收治疗的前列腺增生患者60例作为观察对象。采用随机数字表法将其分为A组(传统TVERP法)和B组(改良TVERP法)。观察两组患者手术情况、前列腺增生症状改善情况、生活质量改善情况、性生活满意度以及近远期不良事件发生率。结果B组患者手术时间显著高于A组,术后留置导管时间显著低于A组(P<0.05),但两组术中出血量和术后住院时间相比差异无统计学意义(P>0.05)。术后两组患者最大尿流量(Qmax)、残余尿量(PVR)、前列腺症状评分(IPSS)以及生活质量评分(QOL)均显著改善,但B组PVR和QOL相较A组改善更明显,差异具有统计学意义(P<0.05)。B组患者术后1年满意度显著高于A组,差异具有统计学意义(P=0.024)。随访1年,两组患者均未出现失访情况。A组患者暂时性尿失禁发生率和近期不良事件总发生率显著高于B组,差异具有统计学意义(P<0.05),而两组患者远期不良事件发生率相比,差异无统计学意义(P>0.05)。结论改良TVERP相较于传统TVERP能够加速术后恢复,减少近期不良事件和暂时性尿失禁的发生率,减少残余尿量,提高生活质量和性生活满意度,但对手术操作要求较高,手术时间较长,应酌情应用。Objective To explore the short-term and long-term effects of modified urethral vaporization of prostate(TVERP)in patients with benign prostatic hyperplasia.Methods Sixty patients with benign prostatic hyperplasia received from our hospital from January 2017 to June 2018 were selected as the research object.R andom number table method was used to randomly divide them into A(traditional TVERP method)and B(modified TVERP method).The operation of two groups of patients,improvement of symptoms of benign prostatic hyperplasia,improvement of quality of life,sexual life satisfaction,and the incidence of adverse events were observed in the near and long term.Results The operation time of group B was significantly higher than that of group A,and the time of indwelling catheter was significantly lower than that of group A.The difference was statitically significant(P<0.05),but the difference in intraoperative bleeding volume and postoperative hospital stay between the two groups had no statistical significance(P>0.05).The Qmax,PVR,IPSS scores and QOL scores of the two groups of patients were significantly improved after operation,but the improvement of PVR and QOL in group B was more obvious than that in group A,and the difference was statistically significant(P<0.05).The satifaction rate of patients in group B after one year,which was significantly higher than that in group A,which was stitically significant(P=0.024).Aftera 1-year follow up,there was no loss of follow-up in both groups.The incidence of temporary urinary incontinence in group A and the total incidence of recent adverse events,which was significantly higher than that in group B,the difference was stistically significant(P<0.05),while the long-term adverse events of the two groups.Compared with the incidence,the difference was not statistically signifcant(P>0.05).Conclusion Compared with traditional TVERP,modified TVERP can accelerate postoperative recovery,reduce the incidence of recent adverse events and temporary urinary incontinence,reduce residual urine

关 键 词：经改良尿道前列腺汽化剜切术 尿道平滑肌括约肌 前列腺增生 近远期疗效 

分 类 号：R47[医药卫生—护理学]