国际泌尿系统杂志
國際泌尿繫統雜誌
국제비뇨계통잡지
INTERNATIONAL JOURNAL OF UROLOGY AND NEPHROLOGY
2015年
1期
45-48
,共4页
前列腺增生%电外科手术%尿道
前列腺增生%電外科手術%尿道
전렬선증생%전외과수술%뇨도
Prostatic Hyperplasia%Electrosurgery%Urethra
目的 探讨经尿道等离子前列腺剜除术治疗高龄高危良性前列腺增生(BPH)患者的安全性及疗效.方法 将70例高龄高危BPH患者随机分为两组,每组35例,分别行经尿道等离子前列腺剜除术(TUPKEP)和传统的经尿道前列腺电切术(TURP).比较两组患者的手术时间、出血量、前列腺腺体切除重量、术后膀胱冲洗时间、术后住院天数、术后国际前列腺症状评分(IPSS)、生活质量评分(QOL)、残余尿量(PVR)、最大尿流率(Qmax)等指标.对两组指标进行统计学分析.结果 TUPKEP组在手术的出血量、手术时间、术后膀胱冲洗时间以及术后的住院时间要明显小于TURP组(P＜0.05);TUPKEP组前列腺腺体切除重量大于TURP组(P＜0.05);两组患者术后随访3个月,残余尿、国际前列腺症状评分、生活质量评分差异均无显著性意义(P ＜0.05);TUPKEP组术后最大尿流率大于TURP组,两组比较有显著性差异(P＜0.05).结论 TUPKEP治疗BPH疗效确切,且安全性较好,特别适用于高龄高危的患者.
目的 探討經尿道等離子前列腺剜除術治療高齡高危良性前列腺增生(BPH)患者的安全性及療效.方法 將70例高齡高危BPH患者隨機分為兩組,每組35例,分彆行經尿道等離子前列腺剜除術(TUPKEP)和傳統的經尿道前列腺電切術(TURP).比較兩組患者的手術時間、齣血量、前列腺腺體切除重量、術後膀胱遲洗時間、術後住院天數、術後國際前列腺癥狀評分(IPSS)、生活質量評分(QOL)、殘餘尿量(PVR)、最大尿流率(Qmax)等指標.對兩組指標進行統計學分析.結果 TUPKEP組在手術的齣血量、手術時間、術後膀胱遲洗時間以及術後的住院時間要明顯小于TURP組(P＜0.05);TUPKEP組前列腺腺體切除重量大于TURP組(P＜0.05);兩組患者術後隨訪3箇月,殘餘尿、國際前列腺癥狀評分、生活質量評分差異均無顯著性意義(P ＜0.05);TUPKEP組術後最大尿流率大于TURP組,兩組比較有顯著性差異(P＜0.05).結論 TUPKEP治療BPH療效確切,且安全性較好,特彆適用于高齡高危的患者.
목적 탐토경뇨도등리자전렬선완제술치료고령고위량성전렬선증생(BPH)환자적안전성급료효.방법 장70례고령고위BPH환자수궤분위량조,매조35례,분별행경뇨도등리자전렬선완제술(TUPKEP)화전통적경뇨도전렬선전절술(TURP).비교량조환자적수술시간、출혈량、전렬선선체절제중량、술후방광충세시간、술후주원천수、술후국제전렬선증상평분(IPSS)、생활질량평분(QOL)、잔여뇨량(PVR)、최대뇨류솔(Qmax)등지표.대량조지표진행통계학분석.결과 TUPKEP조재수술적출혈량、수술시간、술후방광충세시간이급술후적주원시간요명현소우TURP조(P＜0.05);TUPKEP조전렬선선체절제중량대우TURP조(P＜0.05);량조환자술후수방3개월,잔여뇨、국제전렬선증상평분、생활질량평분차이균무현저성의의(P ＜0.05);TUPKEP조술후최대뇨류솔대우TURP조,량조비교유현저성차이(P＜0.05).결론 TUPKEP치료BPH료효학절,차안전성교호,특별괄용우고령고위적환자.
Objectives To investigate the clinical effect and safety of transurethral plasmakinetic enucleation and resection of prostate(TUPKEP) in the treatment of elderly and high-risk patients with benign prostatic hyperplasia(BPH).Methods 70 elderly patients with high-risk BPH were randomized into two groups:TUPKEP group and TURP group,with 35 patients in each.The operation time,intraoperative blood loss,weight of resected prostate tissue,bladder irrigating time,postoperative hospitalization time,international prostate symptom score (IPSS),quality of life score (QOL),postvoid residua (PVR) and maximum flow rate (Qmax) were compared between two groups.All results were statistically analyzed.Results The operation time,intraoperative blood loss,bladder irrigating time,and postoperative hospitalization time were shorter in TUPKEP than in TURP significantly (P ＜ 0.05).The weight ofresected prostate tissue in TUPKEP was more than in TURP(P ＜ 0.05).3 months after operation,there were no significant differences in IPSS,PVR,QOL between the two groups (P ＞ 0.05).Qmax in TUPKEP was more than in TURP(P ＜ 0.05).Conclusions TUPKEP can be particularly applied to elderly patients with high risk BPH efficaciously and more safety.
