摘要
目的:探讨改良剥离式经尿道前列腺切除术(TUER-P)与经尿道前列腺切除术(TUR-P)治疗良性前列腺增生的疗效与安全性。方法:将111例具备手术指征的良性前列腺增生患者随机分为TUR-P组(63例)和改良TUER-P组(48例),记录比较两组手术时间、手术切除率、生活质量(QOL)评分、国际前列腺症状评分(IPSS)、最大尿流率(Qmax)以及术后逆向射精发生率。结果:改良TUER-P组手术时间短于TUR-P组,手术切除率高于TUR-P组,差异均有统计学意义(P<0.05)。术后3个月,两组IPSS、QOL评分及Qmax均较术前有显著改善,差异有统计学意义(P<0.05),但两组之间差异无统计学意义。改良TUER-P组术后逆向射精发生率低于TUR-P组术,差异有统计学意义(P<0.05)。结论:改良TUER-P术治疗良性前列腺增生具有手术时间短、手术切除率高、并发症少等优点,值得临床上推广应用。
Objective： To explore the therapeutic effect and safety of improved transurethral enucleative resection of prostate （TUER-P） and transurethral resection of prostate （TUR-P） in treatment of benign prostate hyperplasia （BPH）. Methods： A total of 111 patients who were diagnosis with BPH were randomly divided into improved Compared with TUR-P group, the operation time was shorter, the resection rate of prostate was higher in the improved TUER- P group. The difference between the two groups was statistically significant （ P 〈 0. 05 ）. Three months postoperatively, IPSS, QOL score and Qmax were significantly improved in both groups （ P 〈 0. 05 ）, but the difference between the two groups was not statistically significant. The retrograde ejaculation rate of patients in improved TUER-P group was lower than that in TUR-P group （P 〈0. 05）. Conclusion： Improved TUER-P for the treatment of BPH is better than TUR-P. It possesses shorter operative time, higher resection rate of prostate and less postoperative complications characteristics. It is a promising technique in clinical practice.
出处
《现代医学》
2014年第12期1443-1445,共3页
Modern Medical Journal
关键词
良性前列腺增生
改良剥离式经尿道前列腺切除术
经尿道前列腺切除术
benign prostate hyperplasia
improved transurethral enucleative resection of prostate
transurethral resection of prostate
