经尿道等离子前列腺12点悬吊整体剜除术的特点及临床效果  

Characteristics and clinical effect of transurethral plasma 12-point suspension total enucleation of prostate

作　　者：罗后宙 陈国强 梁冰 霍振清[1] 朱家利 姚泽钦 刘桂宏 LUO Houzhou;CHEN Guoqiang;LIANG Bing;HUO Zhenqing;ZHU Jiali;YAO Zeqin;LIU Guihong(Department of Urology,Sanya Central Hospital(Hainan Third People's Hospital),Sanya 572000,Hainan,China)

机构地区：[1]三亚中心医院(海南省第三人民医院)泌尿外科,海南三亚572000

出　　处：《中国性科学》2022年第7期16-19,共4页Chinese Journal of Human Sexuality

摘　　要：目的评价经尿道等离子前列腺12点悬吊整体剜除术的特点及临床效果。方法选取2017年10月至2019年10月三亚中心医院收治的118例良性前列腺增生患者作为研究对象,62例选择经尿道等离子前列腺12点悬吊整体剜除术的患者纳入剜除组,56例选择经尿道前列腺电切术(TURP)的患者纳入TURP组。统计并比较两组手术时间、术后失血量、术后住院天数、术后国际前列腺症状评分(IPSS)、最大尿流率(Qmax)、残余尿量(PVR)及并发症发生情况。结果剜除组手术时间、住院时间短于TURP组,失血量少于TURP组,腺体切除量多于TURP组,术后IPSS评分低于TURP组,差异具有统计学意义(P<0.05)。两组术后Qmax和PVR比较,差异无统计学意义(P>0.05)。剜除组并发症发生率明显低于TURP组,差异具有统计学意义(P<0.05)。结论经尿道等离子前列腺12点悬吊整体剜除术是在传统等离子剜除术的基础上进行改良,对比传统剜除术具有包膜寻找快速、不易损伤膀胱后壁、保留12点有助于术后尿控、腺体能快速安全切除等优点,疗效确切,安全性高。Objective To evaluate the characteristics and clinical effect of transurethral plasma 12-point suspension total enucleation of prostate. Methods 118 patients with benign prostatic hyperplasia admitted to Sanya Central Hospital from October 2017 to October 2019 were selected as the study subjects. 62 patients who underwent transurethral plasma 12-point suspension total enucleation were included in the enucleation group, and 56 patients who underwent transurethral resection of the prostate(TURP) were included in the TURP group. Operation time, postoperative blood loss, postoperative length of hospital stay, postoperative international prostate symptom score(IPSS), maximum urine flow rate(Qmax), postvoid residual(PVR) and complications were analyzed and compared between the two groups. Results The operation time and hospital stay of the enucleation group were shorter than those of the TURP group, the blood loss was less than that of the TURP group, the gland resection amount was more than that of the TURP group, and the postoperative IPSS score was lower than that of the TURP group, the differences were statistically significant(P<0.05). There was no significant difference in postoperative Qmax and PVR between the two groups(P>0.05). The incidence of complications in enucleation group was significantly lower than that in TURP group, and the difference was statistically significant(P<0.05). Conclusions Transurethral plasma 12-point suspension total enucleation of prostate is improved on the basis of traditional plasma enucleation. It can quickly find the capsule, less damage of the posterior wall of bladder, preservation of 12-point is helpful for urinary control after operation, rapid and thorough excision of glands with precise curative effect and high safety.

关 键 词：经尿道 等离子剜除 前列腺 整体剜除 12点悬吊 

分 类 号：R691[医药卫生—泌尿科学]