TURP与TUPKP手术疗效及安全性比较

发布时间：2018-02-14 00:20

本文关键词： 良性前列腺增生症经尿道前列腺电切术经尿道前列腺等离子双极电切术　出处：《皖南医学院》2016年硕士论文　论文类型：学位论文

【摘要】：目的:对比研究经尿道前列腺电切术(TURP)与经尿道前列腺等离子双极电切术(TUPKP)治疗良性前列腺增生症的疗效和安全性。方法:收集2013年1月至2015年6月期间我院泌尿外科收治的80例前列腺增生患者,根据所接受手术治疗方式的不同分成TURP组和TUPKP组,每组各40例。比较术前两组间患者年龄、前列腺体积、国际前列腺症状评分(IPSS)、生活质量评分(QOL)、残余尿量(RVU),术前血红蛋白量、术前血清钠离子量。分别比较手术前后两组内IPSS,QOL变化以及两组间手术切除的前列腺组织的重量、手术时间、血清钠及血红蛋白下降情况、术后住院时间、膀胱冲洗时间,导尿管和膀胱造瘘管留置时间以及并发症情况。结果:TURP组和TUPKP组在各组内改善IPSS、QOL方面的差异有统计学意义(P0.05),手术后均能明显改善患者的下尿路症状,疗效确切。两组间在术后血红蛋白及血清钠下降水平及术后住院时间,膀胱冲洗时间,导尿管及膀胱造瘘管留置时间方面差异有统计学意义(P0.05),TUPKP组在减少手术出血并发症、减少术后住院时间,术后康复方面较TURP组具有明显优势,TURP较TUPKP在手术时间方面差异有统计学意义(P0.05),TURP较TUPKP能明显缩短手术时间。TURP较TUPKP在切除前列腺组织重量,术后尿路感染,前列腺包膜穿孔方面无显著差异(P0.05)。结论:经尿道前列腺电切术和经尿道前列腺等离子双极电切术对改善和提高患者术后生活质量方面都有显著疗效。经尿道前列腺等离子双极电切术具有出血少,术后住院时间短、康复快的优势,经尿道前列腺等离子双极电切术相对更安全,但TURP较TUPKP手术时间短。经尿道前列腺等离子双极电切术是在传统的经尿道前列腺电切术基础上一个非常有利的改进,必将给前列腺增生症的治疗带来更多的益处。
[Abstract]:Objective: to compare the efficacy and safety of transurethral resection of prostate (TURP) and transurethral plasma bipolar resection of prostate (TUPKP) in the treatment of benign prostatic hyperplasia. A total of 80 patients with benign prostatic hyperplasia (BPH) were treated in urosurgery. According to the different methods of operation, the patients were divided into TURP group and TUPKP group with 40 cases in each group. The age, prostate volume, international prostate symptom score (IPSS), quality of life score (QOL), residual urine volume (RVU), preoperative hemoglobin content were compared between the two groups. The changes of IPSS QOL before and after operation, the weight of prostatic tissue, the time of operation, the decrease of serum sodium and hemoglobin, the time of hospitalization and the time of bladder washing were compared before and after operation. Results there were significant differences in the improvement of IPSS QOL between the two groups (P 0.05), and the lower urinary tract symptoms were significantly improved after operation. There were significant differences between the two groups in the decrease of hemoglobin and serum sodium, the time of postoperative hospitalization, the time of bladder irrigation, the time of catheter and cystostomy tube indwelling, the difference of P0.05 and TUPKP group in reducing the complications of operation bleeding. Compared with TURP group, TURP had significant difference in operation time. Compared with TUPKP, TURP could significantly shorten the operation time. TURP was significantly shorter than TUPKP in resection of prostate tissue weight, postoperative urinary tract infection. Conclusion: transurethral resection of prostate (TURP) and transurethral resection of prostate plasma (TURP) have significant effects on improving and improving the quality of life of patients after operation. The glandular plasma bipolar electrotomy has less bleeding. The advantages of short hospital stay and quick recovery after operation are that transurethral plasma bipolar resection of prostate is safer. But the time of TURP is shorter than that of TUPKP. Transurethral plasma bipolar resection of prostate is a very beneficial improvement on the basis of traditional transurethral resection of prostate, which will bring more benefits to the treatment of benign prostatic hyperplasia.
【学位授予单位】：皖南医学院
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R699.8

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