经尿道前列腺剜除术与电切术的比较

目的：探讨经尿道前列腺剜除术与电切术的疗效比较。方法：将前列腺增生（BPH）患者60例随机分为两组，分别行经尿道前列腺剜除术（transurethral enucleation of the prostateTUEP）（n=30）和经尿道前列腺电切术（transurethral resection of the prostate，TURP）（n=30），监测、记录两组患者术前、术中及术后的相关临床指标，并进行比较。结果：两组术中冲洗液吸收量、出血量、手术时间、出现术后低血钠、导尿管留置时间、术后住院天数，组间比较差异有统计学意义（P〈O．05）。TUEP组术中需输血2例，占6．7％（2／30）；TURP组术中需输血7例，占23．3％（7／30）。TURP组有17例出现术后低血钠，占56．7％（17／30）；TUEP组无低血钠症发生。术厅3个月，两组患者获随访，其最大尿流率（Qmax）、剩余尿量（PVR）、国际前列腺症状评分（IPSS），生活质量评分（QOL）较术前均有改善，差异有统计学意义（P〈0．01），组间比较差异无统计学意义（P〉0．05）。结论：TUEP术与TURP术相比较，TUEP手术安全性更好，出血少、时间快、并发症少，值得进一步推广应用。

Transurethral enucleation of the prostate comparison with transurethral resection of the prostate

Objectives.To probe into the effect of transurethral enucleation of the prostate compared with the transure th ral resection of the prostate.Methods:Getting the benign prostatic hyperplasia (BPH) 60 patients were randomly divided into two groups, respectively, via transurethral enucleation of prostate (TUEP) (n=30) and transurethral resection of prostate (TURP) (n=30), monitoring to record two sets of patients before, during and after the relevant clinical indicators and com-pared. Results:lntraoperative fluid absorption, bleeding volume, operative time, catheter indwelling time, postoperative length of hospital stay, inter-group difference was significant (P<0.05).TUEP required intraoperative blood transfusion group 2 cases, accounting for 6.7% (2/30);TURP group required blood transfusion during seven cases, accounting for 23.3% (7/30). TURP group,17 eases of postoperative hyponatremia appeared, accounting for 56.7% (17/30); TUEP group occurred in patients without hyponatremia. After 3 months, two patients were followed up, the maximum flow rate (Qmax), residual urine (PVR), international prostate symptom score (IPSS), quality of life score (QOL) than there was some improvement in the preoperative, the difference was significant (P<0.01) difference between groups was not significant (P>0.05). Con-dusion :TUEP compared with TURP surgery patients, is better safety, less bleeding, time fast,less complications, it is wor-thy of further promotion.