经尿道前列腺电切术中切除的组织大小对术后近期疗效的分析

发布时间：2018-03-24 01:14

本文选题：经尿道前列腺电切术　切入点：切除组织大小　出处：《中华男科学杂志》2016年09期

【摘要】：目的:评估切除的前列腺组织的体积(RPV)对经尿道前列腺电切术(TURP)术后国际前列腺症状评分(IPSS)、生活质量(Qo L)评分及排尿功能的影响。方法:2012年1月至2014年12月接受TURP手术、术后病理证实为BPH的患者82例,分析术前及术后3个月患者IPSS、Qo L、残余尿量(PVR)以及最大尿流率(Qmax)的变化。术前通过超声测定前列腺总体积(TPV)和移行带体积(TZV),分析RPV以及RPV/TPV和RPV/TZV对TURP效果的影响。结果:TURP术后3个月,Qmax平均增加9.27 ml/s,IPSS平均降低15.86分,Qo L平均增加3.47分,PVR平均降低87.1 ml。患者术后效果满意率为72.0%。术后效果明显组术后IPSS、Qo L均显著低于效果不满意组[(4.47±3.92)分vs(8.93±7.13)分,(0.91±0.87)分vs(1.95±1.28)分,P均0.01],Qmax显著增加[(20.52±8.54)ml/s vs(11.17±2.86)ml/s,P0.01],而PVR无显著差异[(29.50±18.30)ml vs(39.10±48.20)ml,P=0.192]。术后效果明显组患者与效果不满意组患者相比,术中RPV变化无明显差异,RPV/TPV和RPV/TZV在术后效果明显组中显著高于效果不满意组(P=0.002和P=0.004)。RPV/TPV和RPV/TZV在预测术后疗效的ROC曲线下面积分别为0.793和0.687(P=0.001和P=0.009)。结论:TURP近期随访疗效与术中前列腺组织切除比例密切相关,RPV/TPV和RPV/TZV可能成为术后预测TURP疗效的新指标。
[Abstract]:Objective: to evaluate the effect of the volume of resected prostate tissue on the international prostate symptom score (IPSS), quality of life (QO L) score and urination function after transurethral resection of prostate (TURP). Methods: TURP was performed from January 2012 to December 2014. 82 cases of BPH were confirmed by pathology after operation. The changes of IPSS Qo L, residual urine volume (PVR) and maximal flow rate (Qmax) were analyzed before and 3 months after operation. The effects of RPV, RPV/TPV and RPV/TZV on the effect of TURP were analyzed by measuring the total volume of prostate (TPV) and transitional zone volume (TZV) before operation. The average increase of Qmax was 9.27 ml / s IPSS decreased 15.86 min / L, the average increase of PVR was 3.47 min / L and the average decrease of PVR was 87.1 ml / 3 months after operation. The satisfaction rate of postoperative effect was 72.0 ml. The postoperative IPSS Qo L of the group with obvious postoperative effect was significantly lower than that of the group with unsatisfactory results (4.47 卤3.92 points). Vs(8.93 卤7.13) score 0.91 卤0.87 (vs(1.95 卤1.28), P < 0.01] Qmax increased significantly [20.52 卤8.54)ml/s vs(11.17 卤2.86 ml / sg P0.01], but there was no significant difference in PVR [29.50 卤18.30)ml vs(39.10 卤48.20 vs(11.17 卤48.20ml P0.192]. There was no significant difference in intraoperative RPV changes. RPV / TPV and RPV/TZV were significantly higher than those of unsatisfactory group (P < 0. 002, P=0.004).RPV/TPV and RPV/TZV) under the ROC curve of 0.793 and 0.687(P=0.001, respectively. Conclusion\% TURP has a short-term follow-up effect and surgery. RPV / TPV and RPV/TZV may be a new index to predict the curative effect of TURP after operation.
【作者单位】：禹城市人民医院泌尿外科;
【分类号】：R699.8

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