陈江平
CHEN Jiangping

• 1:岳池县人民医院泌尿外科

摘要(Abstract)：

目的:探讨经尿道前列腺电切术(TURP)与经尿道前列腺等离子剜除术(TPKEP)治疗良性前列腺增生症(BPH)近远期疗效的影响。方法:124例BPH患者,根据手术方式的分为对照组(60例,行TURP)和TPKEP组(64例,行TPKEP),记录两组患者手术时间、切除前列腺质量、术中出血量、膀胱冲洗时间、留置导尿管时间及术后住院时间,分别于手术前及术后6月时进行IPSS评分、残余尿流量(RUV)、QOL评分及最大尿流率(Qmax),评价远期疗效;比较两组患者术中并发症、术后近期及远期并发症。结果:TPKEP组术中出血量、手术时间、冲洗膀胱时间、留置导尿管时间及术后住院时间短于对照组(P<0.05),而切除前列腺质量大于对照组(P<0.05);两组术后6月时IPSS、RUV及QOL评分低于治疗前,Qmax高于治疗前(P<0.05);两组术后6月时IPSS评分、RUV、QOL评分及Qmax比较,差异无统计学意义(P>0.05);TPKEP组术中并发症、术后早期并发症总发生率显著低于对照组(P<0.05),而远期并发症总发生率比较,差异无统计学意义(P>0.05)。结论:TPKEP治疗BPH效果优于TURP。
Objective: To investigate the short term and long term efficacy of transurethral resection( TURP) and transurethral plasma enucleation( TPKEP) treatments for benign prostatic hyperplasia.Methods: A total of 124 BPH patients were divided into TURP group( n = 62) and TPKEP group( n= 62). Operation time,prostate mass of resection,peroperative bleeding,bladder washing time,urinary catheter remaining time and hospitalization time were all recorded. IPSS evaluation,RUV,QOL evaluation and Qmax were performed before surgery and 6 months after operation to assess long term efficacy. Comparing intraoperative complications,postoperative short term and long term complications.Results: Intraoperative blood loss,operative time,bladder irrigation time,catheterization time and mean postoperative hospital stay of TPKEP group were shorter than TURP group( P < 0. 05),while the prostatectomy mass was greater than TURP group( P < 0. 05). The evaluation of international prostate symptom score( IPSS),residual urine flow( RUV) and quality of life( QOL) score 6 months later of both groups were lower than before treatment,and maximum urinary flow rate( Qmax) was higher than before treatment( P < 0. 05). The IPSS,RUV,QOL evaluation of both groups after 6 months compared with Qmax showed no statistical significance( P > 0. 05). The rates of intraoperative complications,the overall incidence of early postoperative complications of TPKEP group were significantly lower than TURP group( P < 0. 05),while long- term complications of both groups were no significant difference in the overall incidence( P > 0. 05). Conclusion: TPKEP treatment presents better efficacy than TURP.

关键词(KeyWords)： 经尿道前列腺电切术;经尿道前列腺等离子剜除术;前列腺增生,良性;治疗结果
transurethral resection;transurethral plasma enucleation;prostatic hyperplasia,benign;curative results and long term efficacy

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 陈江平
CHEN Jiangping

DOI: 10.19367/j.cnki.1000-2707.2016.04.035

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