经尿道双极等离子前列腺剜除术联合不同术式应用于高龄大体积良性前列腺增生合并膀胱结石患者的效果及安全性对比  

Comparison of the efficacy and safety of transurethral bipolar plasma enucleation of prostate combined with different surgical methods in elderly patients with massive benign prostatic hyperplasia complicated with bladder stones

作　　者：马秀君 田茂功 Ma Xiu-jun;Tian Mao-gong(Department of Urology,Hebi People's Hospital,Hebi 458030,Henan,China)

机构地区：[1]鹤壁市人民医院泌尿外科,河南鹤壁458030

出　　处：《四川生理科学杂志》2022年第4期608-611,共4页Sichuan Journal of Physiological Sciences

摘　　要：目的:探讨经尿道双极等离子前列腺剜除术(Transurethral bipolar plasma enucleation of prostate,TUERP)联合不同术式应用于高龄大体积良性前列腺增生合并膀胱结石患者的效果及安全性对比。方法:按照随机数字表法将我院2018年9月~2020年9月期间收治的121例高龄大体积良性前列腺增生合并膀胱结石患者分为两组,两组患者均予以TUERP,对照组60例增加经尿道钬激光膀胱碎石取石术,观察组61例增加膀胱切开取石治疗,观察两组患者手术相关指标、手术效果、生活质量以及术后并发症情况。结果:观察组手术时间、碎石取石时间、住院时间均短于对照组,住院费用低于对照组(P<0.05),术中出血量、膀胱冲洗时间、术后留置导尿管时间两组对比无统计学差异(P>0.05);观察组IPSS评分低于对照组,Qmax大于对照组(P<0.05);观察组QOL评分高于对照组(P<0.05);观察组继发性出血、暂时性尿失禁、尿道狭窄、逆行射精以及睾丸附睾炎总发生率和对照组对比差异无统计学意义(P>0.05)。结论:TUERP联合膀胱切开取石或者尿道钬激光膀胱碎石取石术治疗高龄大体积良性前列腺增生合并膀胱结石患者,两种手术方式并发症发生率以及术中出血量、膀胱冲洗时间、术后留置导尿管时间效果相当,但是前者在缩短手术、碎石取石以及住院时间和提高手术效果方面效果更明显。Objective:To explore the efficacy and safety of transurethral bipolar plasma enucleation of prostate(TUERP)combined with different surgical methods in elderly patients with massive benign prostatic hyperplasia complicated with bladder stones.Methods:According to the random number table method,121 elderly patients with massive benign prostatic hyperplasia complicated with bladder stones admitted to our hospital from September 2018 to September 2020 were divided into two groups.Both groups were treated with TUERP,60 cases in the control group were treated with transurethral holmium laser lithotripsy,and 61 cases in the observation group were treated with cystotomy lithotripsy.The operation-related indexes,operation effect,quality of life and postoperative complications of the two groups were observed.Results:The operation time,lithotomy time and hospitalization time in observation group were shorter than those in control group,and the hospitalization cost was lower than that in control group(P<0.05).There was no significant difference in intraoperative blood loss,bladder irrigation time and indwelling catheter time between the two groups(P>0.05).IPSS score of observation group was lower than that of control group,while Qmax was higher than that of control group(P<0.05).The QOL score of observation group was higher than that of control group(P<0.05).The total incidence of secondary bleeding,temporary urinary incontinence,urethral stricture,retrograde ejaculation and epididymitis in observation group had no significant difference compared with control group(P>0.05).Conclusion:TUERP combined with cystotomy or holmium laser lithotripsy for bladder calculi in the treatment of elderly patients with massive benign prostatic hyperplasia complicated with bladder calculi,the incidence of complications,intraoperative blood loss,bladder irrigation time and indwelling catheter time after operation are similar,but the former is more effective in shortening the operation,lithotripsy,hospitalization time and improving the operatio

关 键 词：良性前列腺增生 膀胱结石 经尿道双极等离子前列腺剜除术 膀胱切开取石 

分 类 号：R69[医药卫生—泌尿科学]