TUCBDP与TURP治疗小体积前列腺增生患者疗效及对围手术期指标排尿功能的影响  

Effect of TUCBDP and TURP in treatment of patients with small-volume benign prostatic hyperplasia and influence on perioperative indicatorsand urination function

作　　者：赵雯涛 万繁 奉先琴 ZHAO Wentao;WAN Fan;FENG Xianqin(Department of Urology,Chengdu Third People's Hospital,Chengdu 610041,China)

机构地区：[1]成都市第三人民医院泌尿外科,四川成都610041

出　　处：《安徽医学》2023年第1期53-57,共5页Anhui Medical Journal

基　　金：四川省科技计划项目(编号:2020YFS0487)。

摘　　要：目的 探究经尿道前列腺柱状水囊扩开术(TUCBDP)与经尿道前列腺电切术(TURP)治疗小体积(<40 mL)前列腺增生(BPH)的疗效及对患者围手术期指标、排尿功能的影响。方法 选取2019年7月至2021年7月成都市第三人民医院收治的BPH患者102例,依据患者入组顺序数字化随机分为对照组和观察组,各51例。对照组行TURP,观察组采用TUCBDP,比较两组围手术期指标(手术时间、术中出血量、术后膀胱冲洗、留置尿管以及住院时间),手术前后残余尿量(PVR)、最大尿流率(Qmax)、最大膀胱容量(MCC)、最大逼尿肌压(Pdet)、国际勃起功能指数-5(IIEF-5)和中国早泄患者性功能评价表(CIPE-5)等指标差异,并评价两组疗效及术后并发症(继发性出血、暂时性尿失禁、膀胱痉挛、电切综合征、尿道狭窄)发生情况。结果 观察组治疗有效率(88.24%)高于对照组(72.54%),差异有统计学意义(P<0.05)。观察组手术时间、术中出血量、膀胱冲洗、留置尿管以及住院时间均短于对照组(P<0.05)。观察组手术前后PVR、Qmax、MCC、Pdet、IIEF-5及CIPE-5评分差值均高于对照组,差异均具有统计学意义(P<0.05)。观察组术后并发症发生率(5.88%)低于对照组(19.60%),差异有统计学意义(P<0.05)。结论 TUCBDP与TURP对小体积BPH均具有明显治疗效果,但TUCBDP较TURP对患者排尿、控尿以及性功能的改善更为明显,创伤更小,术后恢复更快。Objective To investigate the effect of transurethral columnar balloon dilation of the prostate(TUCBDP) and transurethral resection of the prostate(TURP) in the treatment of small-volume benign prostatic hyperplasia(BPH)(<40 mL), and the influence on perioperative indicators and urination function. Methods A total of 102 patients with BPH who were treated in Chengdu Third People’s Hospital from July 2019 to July 2021 were selected, and randomly divided into thecontrol group andobservation group according to the order of admission with 51 cases in each group. Patients in the control group were treated with TURPandthose in the observation group were treated with TUCBDP. The two groups were compared in terms of perioperative indicators(operation time, intraoperative blood loss, postoperative bladder irrigation time, catheter indwelling time and length of hospital stay), post-voided volume residual(PVR), maximum flow(Qmax), maximum cystometric capacity(MCC), maximum detrusor pressure(Pdet), the International Index of Erectile Function-5(IIEF-5) scores and the Chinese Index of Premature Ejaculation-5(CIPE-5) scores before and after surgery. The surgical effects and postoperative complications(secondary bleeding, temporary urinary incontinence, bladder spasm, transurethral resection syndrome, and urethral stricture) were evaluated. Results The treatment response rate in theobservation group(88.24%) was higher than that in the control group(72.54%)(P<0.05). The operation time, intraoperative blood loss, bladder irrigation time, catheter indwelling time and hospital stay of the observation group were shorter/less than those of the control group(P<0.05). The differences inPVR, Qmax, MCC, Pdet, IIRF-5 scores and CIPE-5 scores in the observation group before surgery and three months after surgery were higher than those in the control group(P<0.05). The incidence of postoperative complications in the observation group(5.88%) was lower than that in the control group(19.60%)(P<0.05).Conclusions Both TUCBDP and TURP are effect

关 键 词：前列腺增生 经尿道前列腺电切术 经尿道前列腺柱状水囊扩开术 排尿功能 

分 类 号：R473.6[医药卫生—护理学]