组织学前列腺炎对经尿道前列腺剜除术的影响及临床意义

目的分析组织学前列腺炎对经尿道前列腺剜除术（PKEP）的影响程度和临床意义。方法通过经尿道前列腺剜除术对231例前列腺增生（BPH）患者行手术治疗。所有患者根据手术标本病理检查结果进行分组：138例BPH伴组织学前列腺炎患者（炎症组）和93例单纯BPH患者（对照组），分析两组患者的增生腺体剥离时间，出血量，并发症发生情况以及术后排尿情况。结果两组患者的年龄差异无统计学意义（P〉0．05），两组患者前列腺体积差异无统计学意义（P〉0．05）。PSA、IPSS评分以及尿流率差异均有统计学意义（P〈0．05）。炎症组与对照组剥离时间分别为：（55±20）min和（37±11）min，差异有统计学意义（P〈0．05）。炎症组5例发生前列腺包膜穿孔，对照组无穿孔发生，差异有统计学意义（P〈0．05）。两组术中出血量分别为：（310±90）ml和（105±55）ml，差异有统计学意义（P〈0．05）。炎症组8例需术中输血，对照组无输血，差异有统计学意义（P〈0．05）。炎症组与对照组术后发生暂时性尿失禁分别为63例和19例，差异有统计学意义（P〈0．05）。两组患者术后3个月尿流率差异无统计学意义（P〉0．05）。结论组织学前列腺炎是导致PKEP手术时间延长，增加术中出血量以及术后并发症发生的重要因素。

The effection and clinical significance of histological prostafitis to transurethral plasmakinetic enucleation of prostate

Objective To analyse clinical significance of histological prostatitis （HP） to transurethral plasmakinetic enucleation of prostate （PKEP）. Methods 231 patients with BPH were taken operation of transurethral plasmakinetic enucleation. The patients were divided into two groups according to the results of pathological examination, consisting of 138 patients with BPH plus HP （inflammation group） and 93 patients with uncomplicated BPH（control group）. The time of hyperplastic prostate been peeled, the blood loss, complications and maximum urine flow rate （Qmax） of post-operation were compared between two groups. Results There were no significant differences between two groups in age and volume of prostate （P〉 0.05）. There were significant differences between two groups in volume of prostate, PSA, IPSS and Qmax （P〈 0.05）. The time of hyperplastic prostate been peeled in two groups were （55±20）min and （37±11）min, respectively. The blood loss was （310±90）ml in inflammation group and （105±55）ml in control group, respectively. 5 cases had blood transfusion and 8 cases prostate envelope perforation occurred in inflammation group, but no patients in control group. 63 cases and 13 cases had temporary urinary incontinence in two groups, respectively. There were significant differences between two groups （P 〈 0.05）. There was no significant differences between two groups in Qmax 3 months after operation （P〉 0.05）. Conclusion HP may serve as a major risk factor for prolonging time of operation, increasing blood loss and complications in PKEP.