首页|经尿道杆状电极剜除术与等离子双极电切术治疗前列腺增生的疗效对比

经尿道杆状电极剜除术与等离子双极电切术治疗前列腺增生的疗效对比

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目的 探讨经尿道杆状电极前列腺剜除术(TURERP)与等离子双极前列腺电切术(PKRP)治疗前列腺增生的疗效.方法 回顾性分析2018年6月至2020年6月本院收治的146例前列腺增生患者的临床资料,其中73例患者行TURERP术(TURERP组),73例患者行PKRP术(PKRP组).比较两组患者术前、术后国际前列腺症状评分(IPSS)、最大尿流率(Qmax)、残余尿量(PVR)等指标,分析两组术中切除组织重量、术中出血量、手术时间及术后并发症发生率情况.结果 TURERP组的前列腺切除重量多于PKRP组,同时手术时间、出血量及尿管留置时间少于PKRP组,差异均有统计学意义(均P<0.05).术后6个月后随访患者,两组的IPSS、Qmax及PVR比较,差异均无统计学意义(均P>0.05).两组的并发症发生情况比较,差异无统计学意义(P>0.05).结论 TURERP治疗良性前列腺增生比PKRP更彻底,更高效,出血更少,恢复更快,同时在尖部膜部尿道和顶部的保留方面可以完美替代激光,可很好地避免尿失禁的发生,适合在县市级及基层医疗机构大力推广.
The curative effect analysis of transurethral rod electrode enucleation and resection of the pros-tate compared with transurethal plasmakinetic resection of the prostate with benign prostatic hyperplasia
Objective To investigate the efficacy of transurethral rod electrode prostatic enu-cleation(TURERP)and plasma bipolar electroprostatectomy(PKRP)in the treatment of prostate hy-perplasia.Methods The clinical data of 146 patients with prostatic hyperplasia admitted to our hospi-tal from June 2018 to June 2020 were retrospectively analyzed.Among them,73 patients underwent TURERP(TURERP group)and 73 patients underwent PKRP(PKRP group).International Prostate Symptom Score(IPSS),maximum urine flow rate(Qmax),residual urine volume(PVR)and other indicators were compared between the two groups before and after surgery,and the weight of resected tissue,intraoperative blood loss,operative time and postoperative complication rate were analyzed.Re-sults The weight of prostatectomy in TURERP group was higher than that in PKRP group,while the operation time,blood loss and urinary catheter retention time were lower than those in PKRP group,the differences were statistically significant(all P<0.05).There was no significant difference in IP-SS,Qmax and PVR between the two groups(all P>0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions TURERP is more thor-ough,more efficient,less bleeding and faster recovery than PKRP in the treatment of patients with be-nign prostatic hyperplasia,which is very effective in preventing urinary incontinence and is suitable for promotion in grassroots medical institutions.

Prostatic HyperplasiaTransurethral Resection of ProstateTransurethral Plasmaki-netic Resection of the Prostate

蒋焜、李浩勇、宁金卓

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武汉大学人民医院泌尿外科,武汉 430000

前列腺增生 经尿道前列腺切除术 经尿道前列腺等离子双极电切术

2024

国际泌尿系统杂志
中华医学会,湖南省医学会

国际泌尿系统杂志

CSTPCD
影响因子:0.414
ISSN:1673-4416
年,卷(期):2024.44(2)
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