摘要
目的探讨等离子前列腺剜除术（PKEP）在大体积前列腺中的应用。方法选取60例于2011年2月～2012年7月到笔者医院治疗的前列腺增生（BPH）患者，将其分成PKEP组和前列腺摘除术（OP）组。PKEP组：32例患者，皆接受PKEP手术；OP组：28例患者，皆接受开放耻骨上OP手术。对BPH患者手术中血红蛋白（Hb）、手术时间等指标进行记录，并对患者术后半年、1年、2年情况进行随访，统计并分析患者Qmax、IPSS评分、残余尿（post—voidingresidual，PVR）等资料。结果OP组手术时间少于PKEP组，切除腺体量多于PKEP组，但其出血量明显多于PKEP组，其导尿管留置时间及术后住院时间皆显著长于PKEP组。2组半年、1年及2年时IPSS评分明显优于术前，差异有统计学意义（P均〈0．001）；术后半年、1年，两组IPSS评分差异无统计学意义，术后两年，PKEP组评分优于OP组，差异有统计学意义（P=0．049）。两组半年、1年及2年时Qmax评分明显优于术前，差异有统计学意义（P均〈0．001）；术后半年、1年，两组Qmax评分差异无统计学意义，术后两年，PKEP组评分优于OP组，差异有统计学意义（P=0．012）。两组半年、1年及2年时PVR明显少于术前，差异有统计学意义（P均〈0．001）；术后半年、1年，两组PVR差异无统计学意义，术后两年，PKEP组PVR少于OP组，差异有统计学意义（P=0．038）。PKEP组前列腺包膜穿孔等并发症少于OP组，其并发症总发生率也少于OP组（X2=4．118，P=0．042）。结论PKEP治疗BPH，其近期疗效和OP相当，而远期疗效和安全性优于OP，值得临床推广。
Objective To research the application of plasmakinetic enueleation of prostate in the large volume of prostate. Methods Sixty patients with BPH, treated between February 2011 and July 2012 in our hospital, were selected and divided into PKEP group and OP group. In PKEP group, 32 patients, all received PKEP surgery; and in OP group, 28 patients, all received open prostate removal on the pubic bone. Hemoglobin （Hb） and surgery time of patients with BPH in surgery were recorded, and the postoperative patients＇ Qmax, IP- SS score, residual urine with six months, 1 year, 2 years of follow - up were stated and analyzed. Results Operation time of OP was less than that of PKEP group, and the removal of the gland volume was more than that of PKEP group. But its bleeding volume was more obvi- ous than that of PKEP group. The catheter indwelling time and postoperative hospital stay were significantly longer than those of PKEP group. IPSS scores of two groups postoperative six months, 1 year and 2 years were better than preoperative, and the difference was statis- tically significant （all P 〈 0. 001 ）. Six months, 1 year postoperatively, there was no statistically significant difference between IPSS score in both groups. But two years after surgery, score in PKEP group was better than OP group, and the difference was statistically significant （P = 0. 049）. Qmax of two groups postoperative six months, 1 year and 2 years were better than preoperative, and the difference was sta- tistically significant （ all P 〈 0. 001 ）. Six months, 1 year postoperatively, there was no statistically significant difference between Qmax in both groups. But two years after surgery, Qmax in PKEP group was better than OP group, and the difference was statistically significant （P = 0.012）. PVR of two groups postoperative six months, 1 year and 2 years were less than preoperative, and the difference was statistically significant （ all P 〈 0. 001 ）. Six months, 1 year postoperatively, there was no statistically signific
出处
《医学研究杂志》
2014年第5期93-96,共4页
Journal of Medical Research
基金
杭州市卫生科技计划基金资助项目(2011A013)
关键词
等离子前列腺剜除术
前列腺增生
开放耻骨上前列腺摘除
Plasmakinetic enucleation of prostate
Benign prostatic hyperplasia
Open prostate removal on the pubic bone
