基于IPP行TUKEP治疗突入膀胱良性前列腺增生的效果和预后  

Effect and Prognosis of TUKEP Based on IPP in the Treatment of Benign Prostatic Hyperplasia Protruding into the Bladder

作　　者：高向林 吴振声 何宇晖 冯进江 李小艳 汪涛 黄慧 GAO Xianglin;WU Zhensheng;HE Yuhui;FENG Jinjiang;LI Xiaoyan;WANG Tao;HUANG Hui(Shunde Hospital Affiliated to Guangzhou Medical University,Foshan 528000,China;不详)

机构地区：[1]广州医科大学附属顺德医院佛山市顺德区乐从医院,广东佛山528000

出　　处：《中外医学研究》2020年第35期54-56,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：2018年佛山市自筹经费类科技计划项目(市医学类科技攻关项目)(2018AB001893)。

摘　　要：目的:探究基于前列腺突入膀胱程度(IPP)行经尿道等离子前列腺剜除术(TUKEP)治疗前列腺突入膀胱良性前列腺增生(BPH)的效果和预后。方法:纳入2019年1月-2020年1月本院泌尿外科收治的95例突入膀胱BPH患者,术前均接受IPP评测,依照评测结果分成A组(>10 mm,30例)、B组(5~10 mm,35例)及C组(<5 mm,30例)。均行TPKEP治疗,对比三组手术情况,并随访6个月,对比分析国际前列腺症状评分(IPSS)、残余尿量(RUV)、最大尿流率(Qmax)、前列腺特异性抗原(PSA)水平及健康调查简表(SF-36)评分。结果:C组手术时间短于A、B组,B组手术时间短于A组,差异有统计学意义(P<0.05),三组术中出血量、导尿管留置时间比较差异无统计学意义(P>0.05)。术后6个月,A、B组IPSS评分、RUV均高于C组,Qmax、SF-36评分均低于C组,差异有统计学意义(P<0.05);三组血清PSA水平及术后并发症发生率比较差异无统计学意义(P>0.05)。结论:IPP<5 mm时,采用TUKEP方案治疗突入膀胱BPH有助于提高手术效果,改善临床症状,促进病情转归,并可减少术后并发症发生,实现良好预后。Objective:To explore the efficacy and prognosis of transurethral plasma kinetic enucleation of prostate (TUKEP) based on intravesical prostatic protrusion (IPP) in the treatment of benign prostatic hyperplasia (BPH) protruding into the bladder.Method:A total of 95 patients with BPH protruding into the bladder from January 2019 to January 2020 in our hospital were included.All patients were evaluated by IPP before surgery.According to the evaluation results,they were divided into the group A (>10 mm,30 cases) and the group B (5-10 mm,35 cases) and the group C (<5 mm,30 cases).They were treated with TPKEP.The operation conditions of the three groups were compared and followed up for 6 months.The international prostate symptom score (IPSS) and residual urine volume (RUV),maximum urine flow rate (Qmax),prostate specific antigen (PSA) level and the MOS 36-item short form health survey (SF-36) score.Result:The operation time of the group C was shorter than that of the group A and B,and the operation time of the group B was shorter than that of the group A,the differences were statistically significant (P<0.05).There were no significant differences in intraoperative blood loss and catheter indwelling time among the three groups (P>0.05).Six months after surgery,the IPSS score and RUV of the group A and B were higher than those of the group C,and the Qmax and SF-36 score were lower than those of the group C,the differences were statistically significant (P<0.05).There were no statistically significant differences in serum PSA levels and the incidence of postoperative complications among the three groups (P>0.05).Conclusion:When IPP<5 mm,TUKEP in the treatment of BPH protruding into the bladder is helpful to improve surgery effect,improve clinical symptoms,promote the outcome,reduce postoperative complications,and achieve a good prognosis.

关 键 词：前列腺突入膀胱程度 良性前列腺增生 经尿道等离子前列腺剜除术 预后 

分 类 号：R699.8[医药卫生—泌尿科学]