摘要
目的评价在经尿道等离子前列腺剜除术(TUKEP)手术过程中采用保留前列腺尖部的手术方式治疗良性前列腺增生的临床疗效。方法通过回顾性分析,选择2017年01月至2021年06月于我院收治的良性前列腺增生124例患者,将其中行保留前列腺尖部的TUKEP的患者60例纳入观察组,而接受传统前列腺电切术的患者64例归于对照组;比较两组年龄、前列腺体积、术前I-PSS评分、术后第3个月I-PSS评分、最大自由尿流率(Qmax)、残余尿量(PVR)、手术时长、导尿管留置时长、术后住院总天数(HOD)、手术并发症、术后血红蛋白(HGB)下降量、短期(术后一周)及长期(术后3个月)尿失禁(UI)发生率。结果两组年龄、前列腺体积、术前I-PSS评分、手术时长、手术并发症、术后HGB下降量,第3个月UI发生率的差异无统计学意义(P>0.05),但观察组导尿管留置时长、术后HOD、短期UI发生率、术后第3个月I-PSS、PVR等均低于对照组,差异有统计学意义(P<0.05),Qmax高于对照组,差异有统计学意义(P<0.05)。结论保留前列腺尖部的TUKEP较传统前列腺电切术治疗BPH的效果更加明显,能降低UI发生率,改善患者术后生活质量。
Objective To evaluate the clinical efficacy of TUKEP in the treatment of benign prostatic hyperplasia. Methods By retrospective analysis, 124 patients with benign prostatic hyperplasia admitted to our hospital from January 2017 to June 2021 were selected. Among them, 60 patients receiving TUKEP for prostatic apical preservation were included in the observation group, while 64 patients receiving traditional prostatic electrotomy were included in the control group. Age, prostate volume and preoperative I-PSS were compared between the two groups Score, I-PSS score at 3 months after surgery, maximum free flow rate(Qmax), residual urine volume(PVR), surgical duration, catheter indwelling duration, total postoperative hospital stay(HOD), surgical complications, postoperative hemoglobin(HGB) decrease, short-term(1 week after surgery) and long-term(3 months after surgery) incidence of urinary incontinence(UI). Results There were no significant differences in age, prostate volume, preoperative I-PSS score, duration of surgery, surgical complications, decreased HGB and the incidence of UI at the third month between the two groups(P>0.05). However, the duration of catheter indwel ing, HOD after surgery, incidence of short-term UI, I-PSS and PVR in the third month after surgery in the observation group were lower than those in the control group, the difference was statistically significant(P<0.05), and Qmax was higher than that in the control group, the difference was statistically significant(P<0.05). Conclusion TUKEP with the preservation of the prostatic tip is more effective than traditional electroprostatectomy in the treatment of BPH, which can reduce the incidence of UI and improve the postoperative quality of life of patients.
作者
屈颖伟
何文强
郑聪
赵亚兵
赵润璞
QU Ying-wei;HE Wen-qiang;ZHENG Cong;ZHAO Ya-bing;ZHAO Run-pu(The First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,Henan Province,China)
出处
《罕少疾病杂志》
2022年第9期57-58,共2页
Journal of Rare and Uncommon Diseases
关键词
良性前列腺增生
前列腺尖部
经尿道等离子前列腺剜除术
Benign Prostatic Hyperplasia(BPH)
Prostatic Apex
Transurethral Plasma Kinetic Enucleation of Prostate(TUKEP)
