单极滚珠电极与等离子行经尿道前列腺剜除术的比较  

Comparison of transurethral unipolar ball electrode and plasmakinetic enucleation of prostate in the treatment of benign prostatic hyperplasia

作　　者：李国峰 李显文 周祥福[2] 何昊麟 杜红兵 宾开云 Li Guofeng;Li Xianwen;Zhou Xiangfu;He Haolin;Du Hongbing;Bin Kaiyun(Department of Urology,Yantian People's Hospital,Shenzhen 518000,China;Department of Urology,the Third Affiliated Hospital of Sun Yat sen University,Guangzhou 510000,China)

机构地区：[1]盐田区人民医院泌尿外科,深圳518000 [2]中山大学附属第三医院泌尿外科,广州510630

出　　处：《中华腔镜泌尿外科杂志（电子版）》2023年第3期247-251,共5页Chinese Journal of Endourology(Electronic Edition)

基　　金：2019年度深圳市盐田区软科学研究及社会公益性项目(YTWS20190102)。

摘　　要：目的比较经尿道前列腺单极滚珠剜除与等离子剜除治疗前列腺增生的临床疗效。方法将2019年3月至2021年1月就诊于盐田区人民医院泌尿外科并需手术治疗的60例BPH患者进行分段随机化分组,每组各30例,一组行经尿道单极滚球电极前列腺剜除术,另一组行经尿道前列腺等离子剜除术(TUPKEP),比较两组术中出血量、手术时间、切除组织重量、术后膀胱冲洗时间、留置导尿管时间、住院时间、主要并发症等。术后随访6个月,比较两组最大尿流率(Q_(max))、残余尿量(RUV)、国际前列腺症状评分(IPSS)、生活质量评分(QOL)。结果两组手术均取得成功,并完成了6个月的随访。滚珠剜除组和等离子剜除组术中失血量差异有统计学意义(P<0.05),组织剜除量、手术时间,术后膀胱冲洗时间、尿管留置时间、平均住院天数均差异无统计学意义(P>0.05),两组均无前列腺电切综合征、包膜穿孔等严重并发症发生。结论单极滚珠电极行经尿道前列腺剜除术疗效确切,值得在有电切设备的基层进一步推广。Objective To compare the effects of transurethral unipolar ball electrode and plasmakinetic enucleation of prostate(TUPKEP)in the treatment of benign prostatic hyperplasia(BPH).Methods Sixty BPH patients who presented to the Department of Urology,Yantian District People's Hospital from March 2019 to January 2021,and required surgical treatment were divided into two groups by segmented randomization,30 cases in each group.One group underwent transurethral monopolar ball electrode prostate enucleation and the other group underwent TUPKEP.Intraoperative blood loss,operation time,resected tissue weight,postoperative bladder irrigation time,indwelling catheter time,hospital stay,and main complications were compared between the two groups.After a follow-up of 6 months,the maximum urinary flow rate(Q_(max)),residual urine volume(RUV),International Prostate Symptom Score(IPSS)and quality of life(QOL)were compared between the two groups.Results The operation was successful in both groups,and the 6-month follow-up was completed.There was statistical difference in intraoperative blood loss between ball enucleation group and plasma enucleation group(P<0.05).There was no statistical difference in tissue enucleation volume,operation time,postoperative bladder irrigation time,urinary catheter indwelling time and average hospital stay(P>0.05).No serious complications such as TURS and capsule perforation occurred in the two groups.Conclusions Transurethral enucleation of prostate with monopolar ball electrode is effective and worthy of further promotion at the primary hospitals with electrocision equipment.

关 键 词：前列腺增生 剜除术 单极滚珠电极 等离子 

分 类 号：R699.8[医药卫生—泌尿科学]