经尿道等离子前列腺剜除术与电切术治疗高危良性前列腺增生症疗效比较  

Analysis of clinical efficacy and safety of transurethral prostate enucleation and transurethral resection of prostate in the treatment of patients with high-risk benign prostatic hyperplasia

作　　者：刘珍[1] 安康[1] 殷波[2] 王雪松[1] 刘鹏[1] 姚雷[1] 宋永胜[2] 费翔[2] 单立平[2] 崔军[2] Liu Zhen;An Kang;Yin Bo;Wang Xuesong;Liu Peng;Yao Lei;Song Yongsheng;Fei Xiang;Shan Liping;Cui Jun(Department of Urology,Liaoning Province People's Hospital,Shenyang 110016,Liaoning,China;Department of Urology,Shengjing Hospital Affiliated to China Medical University,Shenyang 110004,Liaoning,China)

机构地区：[1]辽宁省人民医院泌尿外科,辽宁沈阳110016 [2]中国医科大学附属盛京医院泌尿外科,辽宁沈阳110004

出　　处：《中国男科学杂志》2021年第4期45-48,共4页Chinese Journal of Andrology

基　　金：辽宁省科学技术计划项目(2019-ZD-0406)。

摘　　要：目的探讨经尿道等离子前列腺剜除术(transurethral plasma enucleation of the prostate,TUPKEP)与经尿道等离子电切术(transurethral resection of plasma cutting operation,TUPKRP)治疗高危良性前列腺增生症的临床疗效和安全性。方法选取2018年01月至2018年12月期间来我院就诊并接收治疗的高危前列腺增生症患者120例,按照随机数字表表法随机分为观察组和对照组,每组60例。观察组患者给予经尿道等离子前列腺剜除术治疗,对照组患者给予经尿道等离子前列腺电切术治疗,记录两组患者的手术时间、术中出血量、前列腺切除量、尿管留置时间,治疗前后前列腺症状评分和生活质量评分,患者治疗前后尿流动力学,采用国际勃起功能指数评分(IIEF-5)评价病人性功能。结果观察组患者的膀胱冲洗时间、手术时间、术中出血量、前列腺切除重量、尿管留置时间、术后住院时间和住院花费均显著的低于TUPKRP组患者(P<0.05),TUPKEP组患者的前列腺切除重量显著的高于TUPKRP组患者(P<0.05),对照组患者的术后并发症率为20.00%,观察组患者为6.67%,具有显著性差异(P<0.05),术前,观察组患者的IPSS评分、Qmax、RUV、QOL评分和IIEF-5评分与对照组患者差异均无统计学意义(P>0.05),术后对照组IPSS评分、RUV和QOL评分明显高于观察组患者(P<0.05),Qmax和IIEF-5评分明显低于观察组患者(P<0.05)。结论TUPKEP治疗高危良性前列腺增生具有操作快速、且疗效确切,并发症少及性功能影响小的优势。Objective To investigate the clinical efficacy and safety of transurethral plasma enucleation of the prostate(TUPKEP)and transurethral resection of plasma cutting operation(TUPKRP)in the treatment of high-risk benign prostatic hyperplasia.Methods Total of 120 patients with high-risk prostate hyperplasia who were treated in our hospital from January 2018 to December 2018 were enrolled in the study.They were randomly divided into the observation group and the control group,with 60 cases in each group.The patients in the observation group were treated with transurethral plasma prostate enucleation,and the patients in the control group with transurethral plasma prostatectomy.The surgical time,intraoperative blood loss,prostatectomy volume,urinary dwell time,prostate symptom score and quality of life score were recorded before and after treatment,and sexual function were evaluated using the International Erectile Function Index Score(IIEF-5).Results The bladder irrigation time,operation time,surgical bleeding volume,prostate resection weight,urinary indwelling time,postoperative hospitalization time and hospitalization cost were significantly lower in the observation group than those in the TUPKRP group(P<0.05).The prostatectomy weight was significantly higher than that of the TUPKRP group(P<0.05).The postoperative complication rate was 20.00%in the control group and 6.67%in the observation group.There was a significant difference(P<0.05).The IPSS score,Qmax,RUV,QOL score,and IIEF-5 score of the patients in the control group before operation were not significantly different from those in the control group(P>0.05).The IPSS score,RUV,and QOL score of the control group were significantly higher than those in the postoperative observation group.Patients in the control group(P<0.05)had significantly lower Qmax and IIEF-5 scores than those in the observation group(P<0.05).Conclusion TUPKEP shows some advantages over TUPKRP in fast operation,accurate curative effect,few complications and little effect on sexual function for

关 键 词：经尿道等离子前列腺剜除术 经尿道等离子电切术 前列腺增生症 疗效比较研究 手术后并发症 性功能 

分 类 号：R697.32[医药卫生—泌尿科学] R699-33[医药卫生—外科学]