膀胱肿瘤伴前列腺增生患者同期行经尿道膀胱肿瘤电切术、经尿道前列腺电切术的术后效果

摘要

目的:探讨膀胱肿瘤伴前列腺增生患者同期行经尿道膀胱肿瘤电切术、经尿道前列腺电切术的术后效果,为该病的临床治疗提供理论依据.方法:选取自2009年1月15日至2013年1月15日收入我院治疗的膀胱肿瘤伴前列腺增生患者共92例,其中观察组同期行经尿道膀胱肿瘤电切术(TURB-t)、经尿道前列腺电切术(TU RP) 46例,对照组仅行TURB-t术46例.两组患者术后均随访6～36个月,平均20.50个月.比较观察两组患者术后的I-PSS和QOL评分、并发症发生率、住院费用以及肿瘤复发等相关指标.结果:术后两组患者随访6个月期间,观察组的平均I-PSS评分(6.42±2.09)、QOL评分(1.48±0.83)均显著低于对照组,差异均有统计学意义(P＜0.05);观察组的手术时间[(61.62 ±9.69) min]、术中出血量[(100.21±27.68) ml]、留置尿管时间[(5.79±1.05)d]、住院时间[(9.76±2.71)d]、住院费用[(5.7±0.95)万元]均高于对照组(P＜0.05);但观察组膀胱冲洗时间[(39.29±4.58)h]显著短于对照组[(82.16±7.95)h](P＜0.05).两组患者术后随访期并发症发生率、术后膀胱肿瘤复发率的比较均无显著性差异(P＞0.05).结论:实验结果提示同期电切术要优于单纯经尿道膀胱肿瘤电切术.%Objective:To explore the postoperative effect in bladder cancer patients with benign prostatic hyperplasia with transurethral resection of bladder tumor and transurethral resection of prostate,provide the theoretical basis for the clinical treatment of the disease.Methods:A total of 92 cases of bladder tumor with benign prostatic hyperplasia were selected from January 15th 2009 to January 15th 2013 in our hospital.Among the 92 patients,46 patients simultaneously underwent TURB-t and TURP (observation group),and the other 46 patients underwent TURB-t alone.In two groups of patients,postoperative I-PSS and QOL score,the incidence of complications,hospitalization costs and tumor recurrence and other related indicators were compared.Results:After two groups of patients were followed up for a period of 6 months,the average I-PSS score of observation group (6.42 ± 2.09),QOL score (1.48 ± 0.83) were significantly lower than the control group,and the difference was statistically significant (P ＜ 0.05).The operation time of the observation group [(61.62 ± 9.69) min],the amount of bleeding [(100.21 ± 27.68) ml],indwelling catheter time[(5.79 ± 1.05) d],hospitalization time[(9.76 ± 2.71) d] were significantly longer than the control group (P ＜ 0.05),and the cost of hospitalization was significantly higher than the control group,but the bladder irrigation time [(39.29 ± 4.58) h] was significantly shorter than the control group [(82.16 ± 7.95) h] (P ＜ 0.05).There was no siginificant differences in the incidence of postoperative follow-up of two groups of patients and tumor recurrence rate (P ＞ 0.05).Conclusion:The results of the experiment indicated that the TURB-t and TURP was superior to the single TURB-t.