经尿道等离子前列腺剜除术治疗良性前列腺增生的效果及其对尿动力学的影响  

The Effect of Transurethral Plasmakinetic Enucleation of the Prostate in the Treatment of Benign Prostatic Hyperplasia and Its Effect on Urodynamics

作　　者：俞婷[1] 唐华[1] 陈剑[1] 郭昌平[1] 王永富[1] 叶德川 章盛椿 YU Ting;TANG Hua;CHEN Jian;GUO Changping;WANG Yongfu;YE Dechuan;ZHANG Shengchun(Urology Department,Sanming Second Hospital,Sanming 366000,Fujian,China)

机构地区：[1]三明市第二医院泌尿外科,福建三明366000

出　　处：《中外医疗》2024年第24期47-50,共4页China & Foreign Medical Treatment

摘　　要：目的 探究经尿道等离子前列腺剜除术(transurethral plasmakinetic enucleation of the prostate, TUERP)治疗良性前列腺增生(benign prostatic hyperplasia, BPH)的临床效果及其对患者术后尿动力学的影响。方法单纯随机选择2020年1月—2023年10月三明市第二医院收治的130例BPH患者为研究对象,根据手术方法不同分为两组。TURP组(65例)实施经尿道前列腺电切术治疗,TUERP组(65例)实施经尿道等离子前列腺剜除术治疗。比较两组围术期相关指标、尿流动力学指标、预后情况及并发症。结果 TUERP组患者术中出血量为(97.23±7.16)mL,少于TURP组的(141.51±13.69)mL,差异有统计学意义(t=23.109,P<0.05)。TUERP组的留置尿管时间、住院时间均短于TURP组,差异有统计学意义(P均<0.05)。与TURP组相比,TUERP组术后的最大尿流率更高,残余尿量更低,差异有统计学意义(P均<0.05)。术前,两组患者术前的国际前列腺症状评分(International Prostate Symptom Scores, IPSS)和膀胱过度活动症状评分(Overactive Bladder Symptom Score, OABSS)比较,差异无统计学意义(P均>0.05)。术后,TUERP组的IPSS和OABSS评分均低于TURP组,差异有统计学意义(P均<0.05)。TUERP组并发症发生率低于TURP组,差异有统计学意义(P<0.05)。结论TUERP治疗效果较好,可以改善尿流动力学指标,降低IPSS和OABSS评分,并发症发生率较低。Objective To investigate the clinical effect of transurethral plasmakinetic enucleation of the prostate(TUERP)in the treatment of benign prostatic hyperplasia(BPH)and its effect on postoperative urodynamics.Methods A total of 130 patients with BPH admitted to Sanming Second Hospital from January 2020 to October 2023 were simple randomly selected as the study subjects.They were divided into two groups according to different surgical methods.TURP group(65 cases)was treated with transurethral resection of prostate,and TUERP group(65 cases)was treated with transurethral plasmakinetic enucleation of the prostate.The perioperative related indexes,urodynamic indexes,prognosis and complications were compared between the two groups.Results The intraoperative blood loss in the TUERP group was(97.23±7.16)mL,which was less than(141.51±13.69)mL in the TURP group,and the difference was statistically significant(t=23.109,P<0.05).The indwelling catheter time and hospitalization time in the TUERP group were shorter than those in the TURP group,and the differences were statistically significant(both P<0.05).Compared with the TURP group,the maximum urinary flow rate was higher and the residual urine volume was lower in the TUERP group,and the differences were statistically significant(both P<0.05).Before operation,there was no significant difference in International Prostate Symptom Scores(IPSS)and Overactive Bladder Symptom Score(OABSS)between the two groups(both P>0.05).After operation,the IPSS and OABSS scores of the TUERP group were lower than those of the TURP group,and the differences were statistically significant(both P<0.05).The incidence of complications in the TUERP group was lower than that in the TURP group,and the difference was statistically significant(P<0.05).Conclusion TUERP has a good therapeutic effect,which can improve urodynamic indexes,reduce IPSS and OABSS scores,and has a low incidence of complications.

关 键 词：经尿道等离子前列腺剜除术 良性前列腺增生 治疗效果 尿动力学 

分 类 号：R699[医药卫生—泌尿科学]