中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2013年
9期
984-986
,共3页
黄真%赵盟杰%刘绍明%息金波
黃真%趙盟傑%劉紹明%息金波
황진%조맹걸%류소명%식금파
经尿道前列腺剜除术%经尿道前列腺电切术%前列腺增生
經尿道前列腺剜除術%經尿道前列腺電切術%前列腺增生
경뇨도전렬선완제술%경뇨도전렬선전절술%전렬선증생
Transurethal enucleation of prostate%Transurethal resection of prostate%Hyperplasia of prostate
目的 通过回顾性分析临床资料,比较单极电切进行经尿道前列腺剜除术与前列腺电切术的优劣.方法 统计2010、2011年施行前列腺剜除术77例,2009年施行前列腺电切术27例.将其分为剜除术组和电切术组,每组数据依据前列腺质量分为≥60 g组和＜60g组.比较每组手术所用时间、出血量、切除前列腺组织量.结果 ≥60 g组:剜除术患者53例,前列腺质量(88.5 ±9.2)g,手术时间为(91.5±8.8) min,出血量为(110.0±16.4) ml,切除前列腺组织质量为(48.0±4.6)g；电切术患者12例,前列腺质量为(107.0±15.3)g,手术时间为(118.3±20.2)min,出血量为(193.3±22.3)ml,切除前列腺组织质量为(58.4±5.4)g.两组出血量比较差异有统计学意义(P=0.011),而前列腺质量、手术时间、切除前列腺组织质量比较差异均无统计学意义(P值分别为0.255、0.083、0.320).＜60 g组:剜除术患者24例,前列腺质量为(43.1±3.2)g,手术时间为(62.7±6.8)min,出血量为(56±5) ml,切除前列腺组织质量(26.3±2.4)g；电切术患者15例,前列腺质量为(36.8±3.4)g,手术时间为(69.3±6.2)min,出血量为(110±20)rnl,切除前列腺组织质量为(23.6±2.1)g.＜60 g组,剜除术与电切术比较,差异均无统计学意义(前列腺体积:P =0.072;手术时间:P =0.431;出血量:P =0.082;切除前列腺组织:P=0.291).结论 应用单极电切术,对于较大前列腺(≥60 g)患者,应用剜除术比电切术有更少的出血量,随着术者经验的丰富、手术技术的熟练,剜除术可取代电切术治疗较大前列腺；＜60g前列腺患者,剜除术与电切术无明显差异,术者可根据经验及熟练程度选择术式.
目的 通過迴顧性分析臨床資料,比較單極電切進行經尿道前列腺剜除術與前列腺電切術的優劣.方法 統計2010、2011年施行前列腺剜除術77例,2009年施行前列腺電切術27例.將其分為剜除術組和電切術組,每組數據依據前列腺質量分為≥60 g組和＜60g組.比較每組手術所用時間、齣血量、切除前列腺組織量.結果 ≥60 g組:剜除術患者53例,前列腺質量(88.5 ±9.2)g,手術時間為(91.5±8.8) min,齣血量為(110.0±16.4) ml,切除前列腺組織質量為(48.0±4.6)g；電切術患者12例,前列腺質量為(107.0±15.3)g,手術時間為(118.3±20.2)min,齣血量為(193.3±22.3)ml,切除前列腺組織質量為(58.4±5.4)g.兩組齣血量比較差異有統計學意義(P=0.011),而前列腺質量、手術時間、切除前列腺組織質量比較差異均無統計學意義(P值分彆為0.255、0.083、0.320).＜60 g組:剜除術患者24例,前列腺質量為(43.1±3.2)g,手術時間為(62.7±6.8)min,齣血量為(56±5) ml,切除前列腺組織質量(26.3±2.4)g；電切術患者15例,前列腺質量為(36.8±3.4)g,手術時間為(69.3±6.2)min,齣血量為(110±20)rnl,切除前列腺組織質量為(23.6±2.1)g.＜60 g組,剜除術與電切術比較,差異均無統計學意義(前列腺體積:P =0.072;手術時間:P =0.431;齣血量:P =0.082;切除前列腺組織:P=0.291).結論 應用單極電切術,對于較大前列腺(≥60 g)患者,應用剜除術比電切術有更少的齣血量,隨著術者經驗的豐富、手術技術的熟練,剜除術可取代電切術治療較大前列腺；＜60g前列腺患者,剜除術與電切術無明顯差異,術者可根據經驗及熟練程度選擇術式.
목적 통과회고성분석림상자료,비교단겁전절진행경뇨도전렬선완제술여전렬선전절술적우렬.방법 통계2010、2011년시행전렬선완제술77례,2009년시행전렬선전절술27례.장기분위완제술조화전절술조,매조수거의거전렬선질량분위≥60 g조화＜60g조.비교매조수술소용시간、출혈량、절제전렬선조직량.결과 ≥60 g조:완제술환자53례,전렬선질량(88.5 ±9.2)g,수술시간위(91.5±8.8) min,출혈량위(110.0±16.4) ml,절제전렬선조직질량위(48.0±4.6)g；전절술환자12례,전렬선질량위(107.0±15.3)g,수술시간위(118.3±20.2)min,출혈량위(193.3±22.3)ml,절제전렬선조직질량위(58.4±5.4)g.량조출혈량비교차이유통계학의의(P=0.011),이전렬선질량、수술시간、절제전렬선조직질량비교차이균무통계학의의(P치분별위0.255、0.083、0.320).＜60 g조:완제술환자24례,전렬선질량위(43.1±3.2)g,수술시간위(62.7±6.8)min,출혈량위(56±5) ml,절제전렬선조직질량(26.3±2.4)g；전절술환자15례,전렬선질량위(36.8±3.4)g,수술시간위(69.3±6.2)min,출혈량위(110±20)rnl,절제전렬선조직질량위(23.6±2.1)g.＜60 g조,완제술여전절술비교,차이균무통계학의의(전렬선체적:P =0.072;수술시간:P =0.431;출혈량:P =0.082;절제전렬선조직:P=0.291).결론 응용단겁전절술,대우교대전렬선(≥60 g)환자,응용완제술비전절술유경소적출혈량,수착술자경험적봉부、수술기술적숙련,완제술가취대전절술치료교대전렬선；＜60g전렬선환자,완제술여전절술무명현차이,술자가근거경험급숙련정도선택술식.
Objective To compare the surgical effects of transurethal enucleation of prostate (TUEP)with transurethal resection of prostate (TURP) by a retrospective analysis of clinical data.Methods The patients in this study were divided into the groups of TUEP (enrolled in 2010 and 2011,n =77) and TURP (enrolled in 2009,n =27) with prostate larger than 60 g and smaller than 60 g respectively.Comparisons were made between the two groups in operation time,blood loss volume and weight of resected prostate.Results In the group of patients with prostate larger than 60 g,there was no significant difference in prostate weight ((88.5 ± 9.2) g vs.(107.0 ± 15.30) g,P =0.255),operation time ((91.5 ± 8.8) min vs.(118.3 ± 20.2)min,P =0.083),and weight of resected prostate ((48.0 ± 4.6) g vs.(58.4 ± 5.4) g,P =0.32) between the TUEP (53 patients) and the TURP (12 patients) groups.There was significant difference in blood loss ((110.0 ± 16.4) ml vs.(193.3 ± 22.3) ml,P =0.011) between the two groups.In the group of patients with prostate smaller than 60 g,there was no significant difference in prostate weight ((43.1 ± 3.2) g vs.(36.8 ± 3.4) g,P =0.072),operation time ((62.7 ±6.8) min vs.(69.3 ±6.2) min,P =0.431),blood loss ((56 ± 5) ml vs.(110±20) ml,P=0.082),and weight of resected prostate ((26.3 ±2.4) g vs.(23.6 ±2.1) g,P =0.291) between the TUEP (24 patients) and the TURP (15 patients) groups.Conclusion Compared with TURP,TUEP has the advantages of less blood loss in the treatment of patients with prostate larger than 60 g.With the improvement of surgeon' s experience and development of operation techniques,TURP will be replaced by TUEP.In the treatment of patients with prostate smaller than 60 g,the operation modality can be chosen by the surgeon based on his experience and proficiency.
