经尿道柱状水囊前列腺扩开术治疗前列腺增生的近期疗效探讨  

Short-term efficacy of transurethral columnar balloon dilation of the prostate for benign prostatic hyperplasia

作　　者：徐久平[1] 余子强[1] 韦瑾 邵明峰 邹建安[1] XU Jiuping;YU Ziqiang;WEI Jin;SHAO Mingfeng;ZOU Jian′an(Department of Urological Surgery,The First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,China)

机构地区：[1]安徽中医药大学第一附属医院泌尿外科,安徽合肥230031

出　　处：《皖南医学院学报》2022年第6期550-553,共4页Journal of Wannan Medical College

基　　金：安徽省重点研究与开发计划项目(1704f0804033)。

摘　　要：目的:评估经尿道柱状水囊前列腺扩开术(TUCBDP)治疗前列腺增生(BPH)的近期疗效和安全性。方法:回顾性分析安徽中医药大学第一附属医院泌尿外科应用TUCBDP治疗的70例BPH患者资料,观察手术时间、出血量、并发症等指标,比较术前、术后3个月、术后6个月和术后1年的患者国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)和膀胱残余尿量(RUV)。结果:所有手术均成功完成,平均手术时间(47.80±21.42)min,平均出血量(81.52±34.02)mL,未发生严重并发症。术后3个月患者的IPSS、QOL、Qmax、RUV等指标均较术前改善。患者术后随访1年结果显示IPSS(4.48 vs.21.24)、QOL(1.49 vs.4.25)、Qmax(15.89 mL/s vs.7.12 mL/s)及RUV(35.85 mL vs.129.63 mL)均较术前改善(P<0.05)。结论:TUCBDP治疗BPH近期疗效满意,具有创伤小、出血少、安全性高的优势,更适合高龄、高危患者。Objective:To evaluate the short-term clinical efficacy and safety of transurethral columnar balloon dilation of the prostate(TUCBDP)in the treatment of benign prostatic hyperplasia(BPH).Methods:The clinical data were retrospectively analyzed in 70 cases of BPH treated with TUCBDP in our department.The observation indicators included operative time,intraoperative bleeding and complications,and the clinical data were compared regarding the International Prostate Symptom Score(IPSS),the Quality of Life Score(QOL),maximum flow rate(Qmax)and residual urinary volume(RUV)before operation,at month 3,6 and at one year after surgery.Results:The operation was successfully completed in all patients.The average operative time and intraoperative bleeding was(47.80±21.42)min and(81.52±34.02)mL,respectively.No serious complications occurred.The indexes,including IPSS,QOL,Qmax and RUV were generally improved at month 3 after surgery.Post-operative follow-up in one year showed that IPSS(4.48 vs.21.24),QOL(1.49 vs.4.25),Qmax(15.89 mL/s vs.7.12 mL/s)and RUV(35.85 mL vs.129.63 mL)were all improved compared to those before surgery(all P<0.05).Conclusion:TUCBDP can lead to better short-term efficacy for BPH,and is more favorable to elderly patients with high risk,because this procedure has less invasion,lower blood loss during operation and higher safety.

关 键 词：前列腺增生 柱状水囊 前列腺扩开术 

分 类 号：R699.8[医药卫生—泌尿科学]