膀胱肿瘤并发 BPH 患者同期性经尿道膀胱肿瘤电切术及前列腺电切术的可行性

摘要

Objective To investigate feasibility of patients underwent transurethral resection of bladder tumor and prostate electrocision in the bladder tumor complicated with BPH(BPH). Methods Statistical analysis from January 2012 to January 2014 were performed in 50 cases of patients with bladder tumor complicated with BPH clinical data. Results After treatment,the IPSS of observation group patients was significantly lower than the control group. QOL score was significantly higher than that of the control group. Qmax was significantly more than the control group ( P ﹤ 0. 05). The operation time,postoperative patients after washing time were significantly shorter than those of the control group. Postoperative hemoglobin content was significantly greater than that in the control group( P ﹤ 0. 05);but the differences of patients in two group between the guide catheter were not significant( P ﹥ 0. 05). The complication rate in the observation group of patients with postoperative was 12. 0%(3 /25),which was higher than that in the control group 28. 0%(7 / 25)( P ﹤ 0. 05). The recurrence rate in patients of the observation group the was 8. 0%(2 / 25),which was higher than that in the control group 20. 0%(5 / 25)( P ﹤ 0. 05). The recurrence time were longer than that in the control group( P ﹤ 0. 05). Conclusion Bladder tumor patients with BPH can be treated with transurethral resection of bladder tumor. Tran-surethral resection of the prostate is safe and effective,worthy of promotion.%目的：探讨膀胱肿瘤并发前列腺增生（BPH）患者同期行经尿道膀胱肿瘤电切术及前列腺电切术的可行性。方法统计分析2012年1月至2014年1月收治的50例膀胱肿瘤并发 BPH 患者的临床资料。随机将50例患者分为观察组和对照组，每组25例。对照组患者行单纯经尿道膀胱肿瘤切除术，观察组患者同期行经尿道膀胱肿瘤点切术及前列腺点切术。观察两组患者国际前列腺症评分（IPSS 评分），生活质量评分（QOL 评分），最大尿流率（Qmax），手术中、后情况（手术时间、术后冲洗时间、术后血红蛋白、术后留置导尿管时间），并发症发生情况，肿瘤复发情况。结果治疗后观察组患者的 IPSS 明显比对照组低，QOL 评分明显比对照组高，Qmax 明显比对照组大（ P ﹤0.05）；观察组患者的手术时间、术后冲洗时间均明显比对照组短，术后血红蛋白含量明显比对照组高（ P ﹤0.05）；但两组患者术后导尿管时间之间的差异不显著（ P ﹥0.05）；观察组患者的术后并发症发生率12.0%（3/25）明显比对照组28.0%（7/25）低（ P ﹤0.05）；观察组患者的复发率8.0%（2/25）明显比对照组20.0%（5/25）低（ P ﹤0.05），术后复发时间明显比对照组晚（ P ﹤0.05）。结论膀胱肿瘤并发 BPH 患者同期行经尿道膀胱肿瘤电切术及前列腺电切术安全可行，值得推广。