不同手术方案在高危前列腺增生患者中的疗效对比

【摘要】 目的 总结探讨经尿道前列腺剜除术(TUEP)在治疗高危良性前列腺增生症患者的经验,探讨其优势并比较经尿道前列腺电切术(TURP)的临床效果。方法〓选取2012年2月~2015年2月我科收治的高危良性前列腺增生症患者80例,根据手术方式分为TUEP组、TURP组,每组各40例,观察两组患者疗效及并发症发生情况。结果〓TUEP组患者手术时间、术中失血量、术后留置导尿管时间与TURP组相比显著减少(55.4±6.8 min vs 72.5±7.2 min,195.4±17.3 mL vs 253.7±26.8 mL,5.2±1.4 d vs 7.3±2.1 d),前列腺切除重量显著大于TURP组(69.4±4.2 g vs 55.4±3.7 g),差异具有统计学意义(P<0.05);术后两组患者IPSS、Qmax、PV较术前均有显著改善,差异具有统计学意义(所有P<0.05);组间比较,TUEP组IPSS、Qmax、PV指标改善较TURP组更为显著(5.4±1.2 vs 8.9±2.0,22.7±2.3 mL/s vs 17.9±1.8 mL/s,10.3±2.1 mL vs 16.7±2.3 mL),差异具有统计学意义(所有P<0.05);TUEP组患者尿失禁、继发出血等并发症发生情况也显著低于TURP组(5.0% vs 17.5%,2.5% vs 15.0%),差异具有统计学意义(所有P<0.05)。结论〓与传统TURP相比,采取TUEP治疗高危良性前列腺增生症患者,可获得更好的优势,符合相关文献报道。

Comparative evaluation of different surgical procedures in high-risk patients with benign prostatic hyperplasia

Objective To summarize up the experience of transurethral enucleation of the prostate (TUEP) and compare the clinical effect between transurethral resection (TURP) and TUEP in the treatment of high-risk patients with benign prostatic hyperplasia. Methods The data of 80 cases with high-risk patients with benign prostatic hyperplasia from February 2012 to February 2015 were analyzed retrospective, in which 40 cases were performed TUEP (TUEP group) and 40 cases received TURP (TURP group). Results The operative time, intraoperative blood loss, postoperative indwelling catheter time of patients in of TUEP group were decreased than those of TURP group (55.4±6.8 min vs 72.5±7.2 min, 195.4±17.3 ml vs 253.7±26.8 ml, 5.2±1.4 d vs 7.3±2.1 d, all P values were less than 0.05), and excised weight were greater than TURP group (69.4 ±4.2 g vs 55.4 ±3.7 g, all P values were less than 0.05). Post-operative IPSS, Qmax, PV in TUEP group were significantly improved than those in TURP group 5.4±1.2 vs 8.9±2.0, 22.7±2.3 ml/s vs 17.9±1.8 ml/s, 10.3±2.1 ml vs 16.7 ±2.3 ml, all P values were less than 0.05). Urinary incontinence, secondary bleeding in TUEP group were lower than that in TURP group (5.0% vs. 17.5%, 2.5% vs 15.0%, all P values were less than 0.05). Conclusion Compared with conventional TURP, TUEP was illuminated the better clinical effect. And it conforms to the literature report.