摘要
目的 保留前列腺前叶的经尿道前列腺等离子剜除术(transurethral plasma enucleation of prostate,TUERP)对前列腺增生患者近远期疗效的影响效果分析。方法 随机选取2017年1月—2021年1月期间在莆田市第一医院接受手术治疗的前列腺增生患者250例为研究对象,以随机数字表法分为两组,每组125例。观察组接受保留前列腺前叶的TUERP治疗,对照组接受不保留前列腺前叶的TUERP手术治疗。对比两组围术期指标、术后尿流改善情况、术后暂时尿失禁发生率、生活质量评分(QOL)、国际前列腺症状评分(IPSS)改善程度以及近远期治疗总有效率。结果 观察组术中出血量(95.32±1.88)mL、手术时间(52.21±1.54)h显著低于对照组(115.62±2.32)mL、(75.29±2.11)h,差异有统计学意义(t=76.006、98.783,P<0.001);两组膀胱残余尿量(RUV)、最大尿流率(Q-max)比较,差异无统计学意义(P>0.05);观察组术后暂时尿失禁发生率(1.60%)、国际前列腺症状评分(IPSS)(6.28±0.25)分显著低于对照组(8.00%)、(9.33±0.35)分,差异有统计学意义(χ^(2)=5.602;t=79.281,P<0.05);观察组生活质量评分(QOL)(84.92±4.22)分显著高于对照组(68.34±3.66)分,差异有统计学意义(t=33.184,P<0.001)。结论 前列腺增生患者接受保留前列腺前叶的TUERP术治疗围术期指标更佳,术后并发症发生率更低,近期疗效更佳,但远期疗效无显著差异。
Objective To analyze the short-term and long-term effect of transurethral plasma enucleation of the prostate(tuerp) with preservation of the anterior lobe of the prostate on patients with benign prostatic hyperplasia.Methods 250 patients with benign prostatic hyperplasia who underwent surgery in Putian First Hospital from January 2017 to January 2021 were randomly selected as the study objects, they were divided into two groups by a random number table, with 125 patients in each group. The observation group received tuerp with preservation of the anterior lobe of the prostate, and the control group received tuerp without preservation of the anterior lobe of the prostate. The perioperative indexes, the improvement of postoperative urinary flow, the incidence of postoperative temporary urinary incontinence, the improvement of Quality of Life Score(QOL) and International Prostate Symptom Score(IPSS) and the total effective rate of short-term and long-term treatment were compared between the two groups. Results The intraoperative bleeding volume(95.32±1.88) mL and operation time(52.21±1.54) h in the observation group were significantly lower than those in the control group(115.62±2.32) mL and(75.29±2.11) h, the difference was statistically significant(t=76.006, 98.783, P<0.001). There was no statistically significant difference in bladder residual urine volume(RUV) and maximum urinary flow rate(Q-max) between the two groups(P>0.05);the incidence of postoperative tem-porary urinary incontinence(1.60%) and International Prostate Symptom Score(IPSS)(6.28±0.25) points in the observation group were significantly lower than those in the control group(8.00%) and(9.33±0.35) points, the difference was statistically significant(χ^(2)=5.602;t=79.281, P<0.05);the QOL score(84.92±4.22) points of the observation group was significantly higher than that of the control group(68.34±3.66) points, the difference was statistically significant(t=33.184, P<0.001). Conclusion Patients with benign prostatic hyperplasia treated with tuerp with preservation of the anterior lobe of the prostate have better perioperative indicators, lower incidence of postoperative complications and better short-term effect, but there is no significant difference in long-term effect.
作者
林永平
庄永祥
范武林
LIN Yongping;ZHUANG Yongxiang;FAN Wulin(Department of Urology,Putian First Hospital,Putian,Fujian Province,351100 China)
出处
《中外医疗》
2022年第30期48-51,76,共5页
China & Foreign Medical Treatment
关键词
经尿道前列腺等离子剜除术
前列腺前叶
前列腺增生
近远期疗效
围术期指标
并发症
生活
Transurethral plasma enucleation of prostate
Anterior lobe of prostate
Benign prostatic hyperplasia
Short and long-term efficacy
Perioperative indexes
Complication
Quality of life
