两种手术方式治疗大体积良性前列腺增生症效果比较  

Comparison of Two Surgical Methods in the Treatment of Large Volume Benign Prostate Hyperplasia

作　　者：于国盛[1] 杨波[1] 王成达 郝战宽[1] YU Guosheng;YANG Bo;WANG Chengda;HAO ZhanKuan(Department of Urology,Zhuanghe Central Hospital,Zhuanghe 116400,Liaoning Province,China)

机构地区：[1]庄河市中心医院泌尿外科,辽宁庄河116400

出　　处：《中国实用乡村医生杂志》2022年第4期47-49,53,共4页Chinese Practical Journal of Rural Doctor

摘　　要：目的比较前列腺等离子剜除术(transurethral enucleation and resection of the prostate,TUERP)和经尿道前列腺等离子电切术(plasma kinetic resection of prostate,PKRP)治疗老年大体积良性前列腺增生症(benign prostatichyperplasia,BPH)的临床效果。方法收集2018年1月—2020年12月庄河市中心医院收治的大体积BPH患者160例,根据手术方式不同随机分为TUERP组和PKRP组各80例,比较两组患者手术情况、术后排尿功能改善和并发症发生情况。结果两组患者手术时间、术中出血量、腺体切除质量、住院时间差异有统计学意义(P<0.05);两组患者术后残余尿量、最大尿流量、膀胱顺应性和国际前列腺症状评分差异有统计学意义(P<0.05);两组术后并发症发生率差异有统计学意义(P<0.05)。结论相对于PKRP,TUERP治疗老年大体积BPH手术损伤更小,术后恢复更快,并发症更少,可作为首选外科治疗方案。Objective To compare the clinical effects of transurethral enucleation and resection of the prostate(TUERP)and plasma kinetic resection of prostate(PKRP)in the treatment of large volume benign prostatic hyperplasia(BPH)in old patients.Methods A total of 160 patients with large volume BPH treated in Zhuanghe Central Hospital from January 2018 to December 2020 were collected and randomly divided into TUERP group and PKRP group with 80 cases in each group according to different surgical methods.The surgical conditions,postoperative urinary function improvement and complications of the two groups were compared.Results There were significant differences in operation time,intraoperative bleeding,gland resection quality and hospital stay between the two groups(P<0.05).There were significant differences in residual urine volume,quantity of maximum urine flow,bladder compliance and international prostate symptom score between the two groups(P<0.05).There was significant difference in the incidence of postoperative complications between the two groups(P<0.05).Conclusion Compared with PKRP,TUERP has less injury,faster postoperative recovery and fewer complications,which could be used as the preferred surgical treatment for large volume BPH in the elderly.

关 键 词：良性前列腺增生症 大体积 前列腺等离子剜除术 经尿道前列腺等离子电切术 比较 

分 类 号：R69[医药卫生—泌尿科学]