摘要
目的探讨经尿道单极前列腺剜除术与经尿道等离子前列腺剜除术的疗效及安全性比较。方法在2006年11月1日至2010年8月1日确诊为前列腺增生(BPH)的男性患者75例,符合纳入标准的患者随机分成两组,因前列腺包膜与腺体粘连紧密无法行剜除术3例,退出试验。经尿道单极前列腺剜除术组(TUERP)34例与经尿道等离子前列腺剜除术组(PKERP)38例,比较两组的手术时间、术中出血量、术后留置导尿管时间和术后住院时间,两组术后3个月与术前国际前列腺症状(IPSS)、生活质量(QOL)评分及最大尿流率(Qmax)检查、残留尿量(RUV)、前列腺重量进行比较。结果两组间各项观察指标经独立样本t检验,差异无统计学意义(P>0.05);各项观察指标手术前后比较,经配对t检验,差异有统计学意义(P<0.05)。结论在保证手术技巧娴熟前提下,TUREP术与PKERP术相比,同样能够缩短手术时间、减少术中出血量、缩短术后留置导尿管时间和术后住院时间,其有效性和安全性相近,值得推广实行。
Objective To compare the clinical effect and salty between monopolar transurethral enucleation resection of the prostate （TUERP） and transurethral plasmakinetic enucleation resection of the prostate （PKERP） in the treatment of patients with benign prostatic hyperplasia （BPH）. Methods 75 patients who were diagnosed as BPH from November 1st 2006 to August 1st 2010 were randomly divided into 2 groups. 34 patients were treated by TUERP and 38 patients by PKERP, excluding 3 cases who were not suitable for surgery. The operation time, intraoperative blood loss, the postoperative hospital stay time, the urethral catheter time were compared to evaluate the clinical safety of TUERP and PKERP for the treatment of BPH. Parameters included maximum urinary flow rates（Qmax）, residual urine volume（RUV）, international prostate symptom score（IPSS）, quality of life score（QOL） and resected tissue weight which before the operation and 3 months after surgery, were compared to evaluated the Clinical efficacy. Results All the base parameters between the two groups had no statistically significant difference by independent sample T- test （P〉0.05）. All indexes before and after surgery had statistically significant difference by paired T- test （P〈 0.05）. Conduslon In the treatment of BPH, both the TUERP and PKERP can shorten not only the operation time, the postoperative hospital stay time and the urethral catheter time, but also reduce the intraoperatire bleeding by a skillful surgeon.
出处
《中华腔镜泌尿外科杂志（电子版）》
2011年第4期18-21,共4页
Chinese Journal of Endourology(Electronic Edition)
关键词
前列腺增生
经尿道单极前列腺剜除术
经尿道等离子前列腺剜除术
Benign prostatic hyperplasia
Transurethral enucleation of the prostate
Transurethral plasmakinetic enucleation resection of the prostate
