经尿道保留尿道前壁前列腺剜除术与经尿道前列腺电切术治疗良性前列腺增生患者对比研究

摘要

Objective To explore the clinical curative effect of transurethral enucleation of the prostate urethra wall and transurethral resection of prostate for therapy of benign prostatic hyperplasia (BPH).Methods Eighty-four patients with BPH admitted to hospital from February 2014 to July 2015 were divided into control group (n=42) and study group (n=42) according to the different operation methods.The control group underwent transurethral resection of the prostate;study group underwent transurethral enucleation of the prostate anterior urethra.The operation, maximum urinary flow rate (Qmax) before and after operation, international prostate symptom score (IPSS), residual urine volume (PVR) changes, and complications of the two groups were compared.Results In the study group, the amount of bleeding, the indwelling time of catheter, the irrigation time and hospitalization time were significantly less than that of the control group, the differences were statistically significant (P<0.05);There was no significant difference in the level of Qmax, IPSS or PVR between the two groups (P>0.05).The indexes in the study group were significantly better than those in the control group, the differences were statistically significant (P<0.05);The incidence rate of complication in the study group (7.14%) was much lower than that in the control group (30.94%), and the difference was statistically significant (P<0.05).Conclusions Transurethral enucleation of the prostate urethra wall in the treatment of benign prostatic hyperplasia is significantly superior to that of transurethral resection of the prostate, and it can reduce the operation time and amount of bleeding, promote the recovery of postoperative body function, and it has less incidence of complications and high safety, with safety.%目的 探讨经尿道保留尿道前壁前列腺剜除术与经尿道前列腺电切术治疗良性前列腺增生BPH的临床疗效.方法 选择2014年2月至2015年7月84例BPH患者,根据手术方式不同分为对照组和研究组,每组42例.对照组行经尿道前列腺电切术,研究组行经尿道保留尿道前壁前列腺剜除术.对比两组手术情况、手术前后最大尿流率(Qmax)、国际前列腺症状评分(IPSS)、残余尿量(PVR)变化情况,并统计两组并发症发生情况.结果 研究组手术用时、术中出血量、尿管留置时间、术后膀胱冲洗时间、住院时间均明显少于对照组,差异有统计学意义(P<0.05);术前两组Qmax、IPSS、PVR水平比较差异未见统计学意义(P>0.05),术后研究组各指标水平明显优于对照组,差异有统计学意义(P<0.05);研究组并发症发生率(7.14%)远低于对照组(30.94%),差异有统计学意义(P<0.05).结论 采用经尿道保留尿道前壁前列腺剜除术治疗良性前列腺增生,效果显著优于经尿道前列腺电切术,可减少手术用时及出血量,促使患者术后机体功能及早康复,且并发症发生率较低,安全性高.