经尿道柱状水囊前列腺扩开术与经尿道前列腺汽化剜除术治疗小体积BPH的临床效果对比  

Comparison of Clinical Effects of Transurethral Columnar Balloon Dilation of Prostate and Transurethral Vaporization Enucleation of Prostate in the Treatment of Small Volume BPH

作　　者：夏菲 王磊 XIA Fei;WANG Lei(Department of Urology,Fourth Clinical College of Xinxiang Medical College,Xinxiang 453000,China;不详)

机构地区：[1]新乡医学院第四临床学院泌尿外科,河南新乡453000 [2]新乡市中心医院泌尿外科,河南新乡453000

出　　处：《中国医学创新》2024年第34期53-57,共5页Medical Innovation of China

摘　　要：目的:研究小体积前列腺增生(benign prostatic hyperplasia,BPH)患者应用经尿道柱状水囊前列腺扩开术(transurethral columnar balloon dilation of prostate,TUCBDP)与经尿道前列腺汽化剜除术(transurethral vaporization enucleation of prostate,TVEP)治疗的效果差异。方法:选取2021年1月—2023年12月在新乡医学院第四临床学院行手术治疗的200例小体积BPH患者,按照随机数字表法分为试验组(给予TUCBDP治疗)与对照组(给予TVEP治疗),各100例。比较两组临床疗效、术后恢复情况、并发症发生情况。结果:试验组治疗总有效率高于对照组,术后住院时间及尿管留置时间均短于对照组(P<0.05)。术后,试验组残余尿(postvoid residual,PVR)低于对照组,最大尿流率(maximum flow rate,Qmax)、生活质量量表(quality of life,QOL)评分均高于对照组(P<0.05)。试验组并发症发生率低于对照组(P<0.05)。结论:TUCBDP和TVEP两种术式治疗小体积BPH患者均能够取得较理想的治疗效果,积极改善患者的排尿症状,但TUCBDP治疗的效果更好,更能促进患者疾病转归及恢复,术后并发症发生率更小,手术安全性更高。Objective:To study the difference between transurethral columnar balloon dilation of prostate(TUCBDP)and transurethral vaporization enucleation of prostate(TVEP)in the treatment of small volume benign prostatic hyperplasia(BPH).Method:A total of 200 small volume BPH patients who underwent surgical treatment in the Fourth Clinical College of Xinxiang Medical College from January 2021 to December 2023 were selected and divided into the experimental group(receiving TUCBDP treatment)and the control group(receiving TVEP treatment)according to random number table method,with 100 cases in each group.The clinical efficacy,postoperative recovery and complications were compared between the two groups.Result:The total effective rate of the experimental group was higher than that of the control group,and the postoperative hospitalization time and urinary catheter indwelling time of the experimental group were shorter than those of the control group(P<0.05).After surgery,the postvoid residual(PVR)of the experimental group was lower than that of the control group,and the maximum flow rate(Qmax)and quality of life(QOL)scores of the experimental group were higher than those of the control group(P<0.05).The complication rate of experimental group was lower than that of control group(P<0.05).Conclusion:Both TUCBDP and TVEP can achieve ideal therapeutic effect in the treatment of small volume BPH patients,and actively improve the urinary symptoms of patients.However,TUCBDP has better therapeutic effect,can better promote the disease outcome and recovery of patients,and has a lower incidence of postoperative complications and a higher surgical safety.

关 键 词：经尿道柱状水囊前列腺扩开术 经尿道前列腺激光汽化剜除术 小体积前列腺增生 

分 类 号：R699.8[医药卫生—泌尿科学]