经尿道前列腺剜除术与电切术治疗高危良性前列腺增生的安全性和疗效比较

罗文清; 王明; 苟欣; 何卫阳; 杨春林; 田禄海

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经尿道前列腺剜除术与电切术治疗高危良性前列腺增生的安全性和疗效比较

经验交流 | 更新时间：2024-01-17

- 经尿道前列腺剜除术与电切术治疗高危良性前列腺增生的安全性和疗效比较
- The clinical efficacy and safety of TUERP and TKRP for the treatment of high-risk BPH patients
- 重庆医科大学学报 2011年36卷第12期页码：1524-1527
- 作者机构：
  
  重庆医科大学附属第一医院泌尿外科
- 作者简介：
- 基金信息：
- DOI：
  中图分类号： R699
- 纸质出版日期：2011，
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[1]罗文清,王明,苟欣,何卫阳,杨春林,田禄海.经尿道前列腺剜除术与电切术治疗高危良性前列腺增生的安全性和疗效比较[J].重庆医科大学学报,2011,36(12):1524-1527.

LUO Wen-qing, Wang Ming, GOU Xin, et al. The clinical efficacy and safety of TUERP and TKRP for the treatment of high-risk BPH patients[J]. Journal of Chongqing Medical University, 2011,36(12):1524-1527.
[1]罗文清,王明,苟欣,何卫阳,杨春林,田禄海.经尿道前列腺剜除术与电切术治疗高危良性前列腺增生的安全性和疗效比较[J].重庆医科大学学报,2011,36(12):1524-1527. DOI：

LUO Wen-qing, Wang Ming, GOU Xin, et al. The clinical efficacy and safety of TUERP and TKRP for the treatment of high-risk BPH patients[J]. Journal of Chongqing Medical University, 2011,36(12):1524-1527. DOI：

摘要

目的:探讨经尿道前列腺剜除术（Transurethral enucleative resection of prostate

TUERP）与经尿道双极等离子前列腺电切术（Transurethral plasma kinetic resection of the prostate

TKRP）治疗高危前列腺增生症（Benign prostatic hyperplasia

BPH）的安全性和临床疗效。方法:回顾性分析67例高危BPH患者的手术方式

就两种手术方式的前列腺切除重量、手术时间、术中出血量、术后膀胱持续冲洗时间、留置导尿管时间、手术并发症、术后住院时间进行比较;同时对两组术前与术后国际前列腺症状评分（International prostate symptom score

IPSS）、生活质量（Quality of life score

QOL）、最大尿流率（Maximum flow rate

Qmax）、残余尿量（Postvoid residua

PVR）进行比较。结果:31例TUERP

36例行TKRP

术前2组患者一般情况比较无统计学差异（P>0.05）;术后各组患者IPSS、QOL、Qmax、RVR与术前比较差异有统计学意义（P<0.01）

但组间比较均差异无统计学意义（P>0.05）。手术时间、术中出血量、术后膀胱冲洗时间、住院时间TUERP组明显小于TKRP组（P<0.05）

前列腺切除率TUERP组显著高于TKRP组（P<0.05）。结论:TUERP与TKRP对治疗高危BPH疗效差异无统计学意义

TUERP手术时间、术后膀胱冲洗时间和住院时间较短

术中出血量、并发症少。

Abstract

Objective:To assess the clinical efficacy and safety of transurethral enucleative resection of prostate(TUERP)and transurethral plasma kinetic resection of the prostate(TKRP)for treatment of high risk patients with benign prostatic hyperplasia.Methods:The surgical procedures of sixty-seven cases with high-risk BPH were analyzed retrospectively.The operation time

bleeding

resected tissue weight

the mean bladder irrigating time

complications

international prostate symptom score(IPSS)

quality of life score(QOL)

maximum flow rate(Qmax)

and postvoid residua(PVR) were compared.Results:31 cases and 36 cases were performed by the methods of TUERP and TKRP respectively.There was no significant difference of preoperative factors between the two groups(P >0.05).IPSS QOL Qmax and RVR were improved in the two groups after the operation(P<0.01)

and there showed no significant difference between the two groups(P>0.05).The operation time

bleeding

the mean bladder irrigating time

and hospital stay were significant shorter in PUERP than in TKRP(P<0.05).The prostate resection rate in TUERP was higher than in TKRP(P<0.05).Conclusion:There is no difference in efficiency between two groups

but TUERP has advantages in operation time

bleeding

hospital stay

the mean bladder irrigating time and complications

关键词

高危前列腺增生症经尿道双极等离子前列腺电切术经尿道前列腺剜除术

Keywords

high risk patients with benign prostatic hyperplasiatransurethral enucleative resection of prostatetransurethral plasma kinetic resection of the prostate

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