中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2015年
12期
8-9,10
,共3页
闫伟%邓月云%孙栋材%李永青%林海鹏
閆偉%鄧月雲%孫棟材%李永青%林海鵬
염위%산월운%손동재%리영청%림해붕
良性前列腺增生%经尿道等离子前列腺剜除术%经尿道前列腺电切术
良性前列腺增生%經尿道等離子前列腺剜除術%經尿道前列腺電切術
량성전렬선증생%경뇨도등리자전렬선완제술%경뇨도전렬선전절술
Benign prostatic hyperplasia%Transurethral plasma plasmakinetic enucleation of prostate%Transurethral resection of prostate
目的：通过比较经尿道等离子前列腺剜除术(TUERP)与传统经尿道前列腺电切术(TURP)两种方法治疗良性前列腺增生(BPH)的手术并发症及术后临床效果，评价TUERP的应用价值。方法521例BPH患者，将其按术前前列腺质量分为两组，即<30 g组186例、>30 g组335例，以上两组患者随机进入TUERP组(261例)和TURP组(260例)。分别比较两种手术方法手术时间、术中出血量、切除组织量、手术主要并发症及术前术后残留尿量(PVR)、国际前列腺症状评分(IPSS)、生活质量评分(QOL)及最大尿流率(Qmax)等情况。结果<30 g组两种手术方式在围手术期各指标及术后3个月随访主要指标比较差异均无统计学意义(P>0.05)。>30 g组两种手术方式手术时间、出血量、切除重量、Qmax对比，差异均有统计学意义(P<0.05)。结论TUERP能够更快更彻底地切除增生前列腺腺体，术中出血少，安全性好，对于中等以上体积的前列腺患者TUERP具有较明显优势， TUERP围手术期及远期疗效在小前列腺组并不明显。
目的：通過比較經尿道等離子前列腺剜除術(TUERP)與傳統經尿道前列腺電切術(TURP)兩種方法治療良性前列腺增生(BPH)的手術併髮癥及術後臨床效果，評價TUERP的應用價值。方法521例BPH患者，將其按術前前列腺質量分為兩組，即<30 g組186例、>30 g組335例，以上兩組患者隨機進入TUERP組(261例)和TURP組(260例)。分彆比較兩種手術方法手術時間、術中齣血量、切除組織量、手術主要併髮癥及術前術後殘留尿量(PVR)、國際前列腺癥狀評分(IPSS)、生活質量評分(QOL)及最大尿流率(Qmax)等情況。結果<30 g組兩種手術方式在圍手術期各指標及術後3箇月隨訪主要指標比較差異均無統計學意義(P>0.05)。>30 g組兩種手術方式手術時間、齣血量、切除重量、Qmax對比，差異均有統計學意義(P<0.05)。結論TUERP能夠更快更徹底地切除增生前列腺腺體，術中齣血少，安全性好，對于中等以上體積的前列腺患者TUERP具有較明顯優勢， TUERP圍手術期及遠期療效在小前列腺組併不明顯。
목적：통과비교경뇨도등리자전렬선완제술(TUERP)여전통경뇨도전렬선전절술(TURP)량충방법치료량성전렬선증생(BPH)적수술병발증급술후림상효과，평개TUERP적응용개치。방법521례BPH환자，장기안술전전렬선질량분위량조，즉<30 g조186례、>30 g조335례，이상량조환자수궤진입TUERP조(261례)화TURP조(260례)。분별비교량충수술방법수술시간、술중출혈량、절제조직량、수술주요병발증급술전술후잔류뇨량(PVR)、국제전렬선증상평분(IPSS)、생활질량평분(QOL)급최대뇨류솔(Qmax)등정황。결과<30 g조량충수술방식재위수술기각지표급술후3개월수방주요지표비교차이균무통계학의의(P>0.05)。>30 g조량충수술방식수술시간、출혈량、절제중량、Qmax대비，차이균유통계학의의(P<0.05)。결론TUERP능구경쾌경철저지절제증생전렬선선체，술중출혈소，안전성호，대우중등이상체적적전렬선환자TUERP구유교명현우세， TUERP위수술기급원기료효재소전렬선조병불명현。
Objective To compare the complications and postoperative clinical effects between transurethral plasma plasmakinetic enucleation of prostate (TUERP) and transurethral resection of prostate (TURP) in the treatment of benign prostatic hyperplasia (BPH), and to evaluate the application value of TUERP.Methods A total of 521 BPH patients were divided into two groups by their preoperative quality of prostate, as the <30 g group with 186 cases and the >30 g group with 335 cases. These patients were randomly divided into TUERP group (261 cases) and TURP group (260 cases). Comparisons were made on operation time, intraoperative bleeding volume, resection tissue volume, main complications, preoperative and postoperative residual urine volume (PVR), international prostate symptom score (IPSS), quality of life score (QOL), and maximum urine flow rate (Qmax) between the two groups.Results There was no statistically significant difference of indexes in perioperative period and in postoperative follow-up between two surgical methods in the <30 g group (P>0.05). The difference of indexes in operation time, bleeding volume, resection weight, and Qmax between the two surgical methods in the >30 g group had statistical significance (P<0.05).Conclusion TUERP can provide quick and complete resection of prostate, with few intraoperative bleeding volume and good safety. It has obvious advantages for patients with large prostate volume. TUERP shows no obvious difference between perioperative period and long-term curative effects in small prostate group.
