摘要
目的对比经尿道前列腺剜除联合膀胱穿刺造瘘术与经尿道前列腺剜除术的手术效果及远期随访对比。方法回顾2018年1月至2018年12月间良性前列腺增生手术患者167例临床资料,将符合纳入标准的BPH患者进行随机分组,其中经尿道前列腺剜除组88例为剜除术组,膀胱穿刺联合经尿道前列腺剜除组79例为联合组;对比联合组与剜除组的手术效果、随访资料。结果两组患者年龄、分期、前列腺体积(PV)、前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)比较,差异均无统计学意义(均P>0.05);联合组术中出血量、手术时间分别为(65.21±3.80)ml、(88.13±3.52)min,均优于剜除组(81.21±9.76)ml、(103.33±8.59)min,差异均有统计学意义(均P<0.05);术后6个月随访,两组患者IPSS、QOL、Qmax、短期尿失禁比较,差异均无统计学意义(均P>0.05);两组均无长期尿失禁、尿道狭窄。结论经尿道前列腺剜除术联合术中膀胱穿刺造瘘可有效提高前列腺增生手术的效率。
Objective To compare the surgery effects and long-term follow-up of transurethral enucleation of prostate combined with cystostomy and transurethral enucleation of prostate alone.Methods The clinical data of the patients who underwent BPH surgery at our hospital from January to December,2018 were reviewed.A total of 167 patients with BPH who met the inclusion criteria were randomly divided into a transurethral prostatectomy group(n=88)and a cystocentesis combined with transurethral prostatectomy group(n=79).The surgical effects and follow-up data were compared between these two groups.Results There were no statistical differences in age,stage,prostate volume,IPSS score,QOL score,and Qmax between the two groups(all P>0.05).The intraoperative bleeding volume and operation time were better in the combination group than in the TUEP group[(65.21±3.80)ml vs.(81.21±9.76)ml and(88.13±3.52)min vs.(103.33±8.59)min;both P<0.05].After 6 month’s follow-up,there were no statistical differences in IPSS score,QOL score,Qmax,and short-term urinary incontinence between the two groups(P>0.05).No long-term urinary incontinence and urethral stricture occurred in both groups.Conclusion Transurethral enucleation of prostate combined with cystostomy can increase the efficiency of BPH surgery.
作者
袁小旭
胡成
朱雨沫
庞国福
林雪花
邓建
谢群
Yuan Xiaoxu;Hu Cheng;Zhu Yumo;Pang Guofu;Lin Xuehua;Deng Jian;Xie Qun(Department of Urological Surgery,Zhuhai People’s Hospital,Zhuhai 519000,China;Department of Urological Surgery,Third Hospital,Sun Yat-sen University,Guangzhou 510630,China)
出处
《国际医药卫生导报》
2020年第20期3109-3111,共3页
International Medicine and Health Guidance News
关键词
良性前列腺增生
经尿道前列腺剜除联合膀胱穿刺造瘘术
经尿道前列腺剜除术
Benign prostate hyperplasia
Transurethral enucleation of prostate combined with cystostomy
Transurethral enucleation of prostate
