摘要
目的探讨经尿道前列腺等离子剜除术(TUERP)治疗<30 ml的小体积前列腺增生患者的疗效和安全性。方法98例小体积前列腺增生患者为研究对象,将患者随机分为实验组(51例)与对照组(47例)。实验组行TUERP,对照组行经尿道等离子电切术(PKRP)。比较两组围手术期相关指标,手术前后最大尿流率(Qmax)、残余尿量(PVR)及国际前列腺症状评分量表(IPSS)、生活质量评分量表(QOL)评分变化情况,术后并发症发生情况。结果实验组留置尿管时间(49.63±10.95)h短于对照组的(61.30±12.41)h,差异有统计学意义(P<0.05)。两组术后1、3、6个月Qmax、PVR及IPSS、QOL评分均优于本组术前,差异有统计学意义(P<0.05)。实验组膀胱颈挛缩(BNC)发生率1.96%低于对照组的12.77%,差异有统计学意义(P<0.05)。结论TUERP对于小体积前列腺增生患者安全有效,可减少留置尿管时间,降低BNC的发生率,值得临床推广。
Objective To discuss the efficacy and safety of transurethral enucleation and resection of the prostate(TUERP)in the treatment of patients with benign prostatic hyperplasia with prostate volume<30 ml.Methods A total of 98 patients with small-volume benign prostatic hyperplasia were selected as the research subjects,and the patients were randomly divided into the research group(51 cases)and the control group(47 cases).The experimental group underwent TUERP,and the control group underwent plasma kinetic resection of the prostate(PKRP).Both groups were compared in terms of perioperative related indicators,including the maximum urinary flow rate(Qmax),post-void residual(PVR),the International Prostate Symptom Scale(IPSS),and the Quality of Life Scale(QOL)score changes,before and after surgery,and postoperative complications.Results The catheter indwelling time in the experimental group was(49.63±10.95)h,which was shorter than(61.30±12.41)h in the control group,and the difference was statistically significant(P<0.05).The Qmax,PVR,IPSS score and QOL score in the two groups at 1,3 and 6 months after surgery were all better than those before surgery in the same group,and the differences were statistically significant(P<0.05).The incidence of bladder neck contracture(BNC)in the experimental group was 1.96%,which was lower than 12.77%in the control group,and the difference was statistically significant(P<0.05).Conclusion TUERP is safe and effective for patients with small-volume benign prostatic hyperplasia,and can shorten the catheter indwelling time,and reduce the incidence of BNC,which is worthy of clinical promotion.
出处
《中国实用医药》
2022年第14期32-35,共4页
China Practical Medicine
基金
烟台市科技计划项目(项目编号:2020YD062)。
关键词
小体积前列腺增生
经尿道前列腺等离子剜除术
经尿道等离子电切术
膀胱颈挛缩
Small-volume benign prostatic hyperplasia
Transurethral enucleation and resection of the prostate
Plasma kinetic resection of the prostate
Bladder neck contracture
