3种术式治疗高危大体积前列腺增生的比较

发布时间：2018-09-01 14:22

【摘要】：目的比较耻骨上前列腺切除术(suprapubic prostatectomy,SP)、经尿道前列腺电切术(transurethral resection of the prostate,TURP)与经尿道前列腺剜除电切术(transurethral enucleation and resection of the prostate,TUERP)治疗高危大体积前列腺增生患者的临床疗效和安全性。方法回顾性分析我院2005年7月~2014年3月手术治疗137例高危大体积前列腺增生患者的临床资料,以手术时期先后分别行SP(n=41)、TURP(n=42)和TUERP术(n=54)。比较3组手术时间、术后住院时间、腺体切除重量、术中出血量及术后国际前列腺症状评分、生活质量评分和膀胱残余尿等指标,并记录不良事件发生情况。结果 137例手术均成功。手术时间SP组TUERP组TURP组[(69.7±10.2)min vs.(80.9±16.6)min vs.(100.7±19.0)min,F=41.306,P=0.000]。腺体切除重量TUERP组和SP组TURP组[(93.7±21.9)g vs.(101.9±26.6)g vs.(80.0±18.5)g,F=10.107,P=0.000]。术中失血量TUERP组SP组和TURP组(F=6.017,P=0.003)。术后住院时间TUERP组和TURP组SP组[(8.6±1.1)d vs.(8.9±1.4)d vs.(13.1±2.8)d,F=80.727,P=0.000]。3组术后3个月国际前列腺症状评分、生活质量评分和膀胱残余尿等指标差异均无显著性(P0.05)。结论 SP、TURP与TUERP治疗高危大体积前列腺增生均安全、有效。TUERP具有切除腺体彻底、手术时间短、出血少、术后恢复快的优点。
[Abstract]:Objective to compare the efficacy and safety of suprapubic prostatectomy (suprapubic prostatectomy,SP), transurethral resection of prostate (transurethral resection of the prostate,TURP) and transurethral resection of prostate (transurethral enucleation and resection of the prostate,TUERP) in the treatment of high risk patients with prostatic hyperplasia. Methods the clinical data of 137 patients with high risk benign prostatic hyperplasia (BPH) were analyzed retrospectively from July 2005 to March 2014. SP (nnm41) TURP (nnm42) and TUERP (nm54) were performed respectively in the period of operation. The operative time, postoperative hospitalization time, weight of glandular resection, intraoperative bleeding volume, international prostate symptom score, quality of life score and bladder residual urine were compared among the three groups, and adverse events were recorded. Results 137 cases were successfully operated. The operative time was (69.7 卤10.2) min vs. (80.9 卤16.6) min vs. (100.7 卤19.0 min,F=41.306,P=0.000) in TUERP group in SP group. Glandular resection weight TUERP group and SP group TURP group [(93.7 卤21.9) g vs. (101.9 卤26.6) g vs. (80.0 卤18.5g) g vs. (10.107 TURP 0.000]. Intraoperative blood loss was found in TUERP group, SP group and TURP group (FV 6.017, P0. 003). Postoperative hospitalization time in TUERP group and TURP group [(8.6 卤1.1) d vs. (8.9 卤1.4) d vs. (13.1 卤2.8) days] there was no significant difference in international prostate symptom score, quality of life score and bladder residual urine at 3 months after operation (P0.05). Conclusion both SP,TURP and TUERP are safe in the treatment of high risk large volume prostatic hyperplasia. The effective. TUERP has the advantages of complete excision of glands, short operation time, less bleeding, and quick recovery after operation.
【作者单位】：解放军第11医院外二科;
【分类号】：R699.8

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