PKRP和保留前叶PKEP治疗良性前列腺增生的疗效比较被引量：12

Comparison of clinical efficacy between PKEP with anterior lobe preserved and PKRP in treatment of benign prostatic hyperplasia

下载PDF

导出

摘要目的比较经尿道双极等离子前列腺电切术(PKRP)和保留前叶经尿道双极等离子前列腺剜除术(PKEP)治疗BPH的疗效及安全性。方法收集行前列腺切除术的65例BPH患者,其中行PKRP的30例纳入PKRP组,行保留前叶PKEP的35例纳入PKEP组。比较2组患者的手术时间、术中出血量,以及手术前后国际前列腺症状评分(IPSS)、残余尿量、最大尿流率(Qmax)、生活质量评分(QOL)的差异。结果与PKRP组相比,PKEP组手术时间短、术中出血量少(P均<0.01),2组术后并发症总发生率相近(P>0.05)。术后3个月,2组BPH患者的IPSS、残余尿量、Qmax、QOL均比术前明显改善(P均<0.01),组间IPSS、残余尿量、QOL比较差异无统计学意义(P均>0.05),PKEP组的Qmax大于PKRP组(P<0.05)。结论 PKRP、保留前叶PKEP均能有效治疗BPH;与PKRP相比,PKEP手术时间短、出血少,解除梗阻更明显。 Objective To compare the clinical efficacy and safety of transurethral plasmakinetic enucleationof the prostate (PKEP) with anterior lobe preserved and transuretheral plasmakinetic resection of prostate(PKRP) in the treatment of benign prostatic hyperplasia (B P H ). Methods Sixty five BPH patients undergoingprostatectomy were recruited in this study. Among them, 30 patients received PKRP and 35 underwentPKEP with anterior lobe preserved. Operation time, intraoperative blood loss, preoperative and postoperativeinternational prostate symptom score ( IPSS) , residual urine volume ( RUV) , Maximum urinary flow rate( Qmax) and quality of life ( QOL) were statistically compared between the PKRP and PKEP groups. ResultsCompared with PKRP group, the operation time in the PKEP group was significantly shorter and intraoperativeblood loss was considerably less (both P <0. 0 1 ). The overall incidence of postoperative complications did notsignificantly differ between two groups (P >0. 0 5 ). At postoperative 3 months, IPSS, RUV, Qmax and QOL inboth groups were all significantly improved ( all P < 0. 0 1 ). IPSS, RUV and QOL did not significantly differbetween two groups (all P > 0. 05 ) , whereas the Qmax in the PKEP group was significantly higher comparedwith that in the PERP group ( P < 0. 05 ). Conclusions Both PKEP with anterior lobe preserved and PKRPare efficacious procedures for treating BPH. Compared with PKRP, PKEP requires shorter operation time,yields less intraoperative blood loss and can more effectively relieve the BPH.

作者林阳彦邱春明杨勇王沫欧群雄孙灿标李佩潘斌 Lin Yangyan;Qiu Chunming;Yang Yong;Wang Mo;Ou Qunxiong;Sun Canbiao;Li Pei;Pan Bin(Department o f Urology, the Third People’s Hospital o f Nanhai District, Foshan 528244, China)

机构地区南海区第三人民医院泌尿外科暨南大学附属第一医院泌尿外科

出处《新医学》 2016年第7期481-484,共4页 Journal of New Medicine

关键词良性前列腺增生等离子电切术等离子剜除术保留前叶疗效 Benign prostatic hyperplasia Transurethral plasmakinetic resection of prostate Transurethral plasmakinetic enucleation of prostate Anterior lobe preserved Clinical efficacy

分类号 R699.8 [医药卫生—泌尿科学]

引文网络
相关文献

参考文献14

1吴阶平.吴阶平泌尿外科学[M].济南:科学技术出版社,2008:1127.
2刘春晓.传统经尿道前列腺电切术不应再是前列腺增生腔内治疗的金标准[J].现代泌尿外科杂志,2012,17(3):298-299. 被引量：123
3Rassweiler J,Teber D,Kuntz R,Hofmann R.Complications of transurethral resection of the prostate (TURP) incidence,management,and prevention.Eur Urol,2006,50(5):969-979.
4Varkarakis J,Bartsch G,Horninger W.Long-term morbidity and mortality of transurethral prostatectomy:a 10-year follow-up.Prostate,2004,58(3):248-251.
5Liu C,Zheng S,Li H,Xu K.Transurethral enucleation and resection of prostate in patients with benign prostatic hyperplasia byplasma kinetics,J Urol,2010,184 (6):2440-2445.
6刘俊峰,刘春晓,谭朝晖,李三祥,李星智,迟宁.经尿道双极等离子前列腺剜除术与电切术后尿失禁发生率的随机对照研究[J].中华男科学杂志,2014,20(2):165-168. 被引量：96
7梅骅.关于进一步提高开放性前列腺切除术疗效的几点意见[J].中华泌尿外科杂志,1997,18(3):131-132. 被引量：106
8郑少波,刘春晓,徐亚文.前列腺腔内逆行剥离法在经尿道前列腺汽化切除术中的应用[J].第一军医大学学报,2005,25(6):734-735. 被引量：66
9郑少波,刘春晓,徐亚文,李虎林,方平,徐啊白,陈玢屾.腔内剜除法在经尿道前列腺汽化电切术中的应用[J].中华泌尿外科杂志,2005,26(8):558-561. 被引量：212
10王亮,李黎明,崔喆,林毅.经尿道前列腺等离子双极电切术与普通电切术中失血量比较[J].中华腔镜泌尿外科杂志（电子版）,2009,3(1):10-12. 被引量：45

二级参考文献45

1吴伟江,王行环,王怀鹏,邹伟波,梁晓宇,蔡志高,钟巍巍,邹永锋,袁道彰.经尿道等离子体双极电切与经尿道普通电切对前列腺增生症的疗效比较[J].中华医学杂志,2005,85(47):3365-3367. 被引量：104
2ROCCO B,ALBO G,FERREIRA RC,et al.Recent advances in the surgical treatment of benign prostatic hyperplasia[J].Ther Adv Urol.2011,3(6):263-272.
3MAVUDURU RM,MANDAL AK,SINGH SK,et al.Comparison of HoLEP and TURP in terms of efficacy in the early postoperative period and perioperative morbidity[J].Urol Int,2009,82(2):130-135.
4TAN A,LIAO C,MO Z,et al.Meta-analysis of holmium laser enucleation versus transurethral resection of the prostate for symptomatic prostatic obstruction[J].Br J Surg,2007,94:1201-1208.
5KUNTZ RM,LEHRICH K,AHYAI SA.Holmium laser enucleation of the prostate versus open prostatectomy for prostates greater than 100 grams:5-year follow-up results of a randomised clinical trial[J].Eur Urol,2008,53:160-168.
6DELA ROSETTE JJ,GRAVAS S,MUSCHTER R,et al.Present practice and development of minimally invasive techniques,imaging and training in European urology:results of a survey of the european society of uro-Technology (ESUT)[J].Eur Urol,2003,44(3):346-351.
7GILLING PJ,CASS CB,CRESSWELL MD,et al.The use of the holmium laser in the treatment of benign prostatic hyperplasia[J].J Endourol,1996,10(5):459-461.
8BUISAN O,SALADIE JM,RUIZ JM,et al.Diode laser enucleation of the prostate (Dilep):technique and initial results[J].Actas Urol Esp,2011,35(1):37-41.
9ZHANG KY,XING JC,CHEN BS,et al.Bipolar plasmakinetic transurethral resection of the prostate vs.transurethral enucleation and resection of the prostate:pre-and postoperative comparisons of parameters used in assessing benign prostatic enlargement[J].Singapore Med J,2011,52(10):747-751.
10Zwergel U, Wullich B, Lindenmeir U, et al. Long-term results following transurethral resection of the prostate. Eur Urel, 1998,33:476-480.