两种手术方法治疗良性前列腺增生的临床疗效分析

目的比较使用普通电切镜行经尿道前列腺剜除术(TUERP)和经尿道前列腺电切术(TURP)治疗良性前列腺增生(BPH)的近期临床疗效。方法分别监测和记录TUERP和TURP患者术前及术后6个月的国际前列腺症状评分(IPSS)、生活质量评估(QOL)、最大尿流率(MFR)和膀胱残余尿量(RUV),进行比较观察。结果两组病人术后6个月在减轻排尿症状、改善生活质量、提高最大尿流率和减少膀胱残余尿量等尿动力学指标方面均较术前有显著改善,且TUERP组优于TURP组。结论 TUERP是治疗BPH的较好方法,值得推广。

Two Surgical Treatments for Benign Prostatic Hyperplasia: Clinical Curative Efficacy

Objective To compare the short-term clinical curative efficacy of the ordinary resectoscope transurethral enucleation of prostate （TUERP）with the transurethral resection of prostate（TURP）for benign prostatic hyperplasia（BPH）. Methods We monitored and recorded the voiding symptom score（IPSS）, quality of life index（QOL）, maximum flow rate（MFR）and bladder residual urine volume（RUV）in the patients in both the TUERP group and the TURP group before surgery and 6 months after that for a comparative observation. Results Six months after surgery, the patients of the two groups showed significant improvement in urinary symptoms and quality of life, as well as maximum urinary flow rate and bladder residual urine volume compared with pre-operation,the TUERP group being superior to the TURP group. Conclusion TUERP is a better way to treat BPH than TURP, worthy of popularization.