超声技术在经尿道前列腺等离子剜除术中的应用价值分析
Application value of ultrasound technology in transurethral enucleation and resection of the prostate
熊宇 1陆烽烽 1蒋齐 1宋震乾 1朱晓峰 1朱泽鹏 1位志峰 1姚爱兵1
作者信息
- 1. 南京医科大学第四附属医院泌尿外科,江苏 南京 210029
- 折叠
摘要
目的:探讨超声技术在经尿道前列腺等离子剜除术(TUERP)中的应用价值.方法:选取2021 年6 月至2023 年6 月收治的有手术指征的良性前列腺增生(BPH)患者作为研究对象,共纳入78 例患者,年龄(70.68±8.63)岁,随机分成两组:对照组(n=39)使用TUERP,观察组(n=39)使用超声辅助下TUERP,统计并分析相关指标.结果:两组患者手术时间及膀胱冲洗时间无统计学差异(P>0.05).观察组患者切除腺体量较对照组多,而术中出血量和围手术期并发症均较对照组少.此外,两组术后1、3 个月国际前列腺症状评分(IPSS)、排尿后残余尿量(PVR)、生活质量评分(QOL)和最大尿流率(Qmax)较术前明显改善,但与对照组相比,观察组患者改善更明显,差异有统计学意义(P<0.05).结论:超声辅助下TUERP可从解剖层次上完整的沿前列腺外科包膜切除增生的前列腺,安全性更高,围手术期并发症更少,治疗效果更好,具有良好的临床应用前景.
Abstract
Objective:To investigate the application value of ultrasound technology in transurethral enucleation and resection of the prostate(TUERP).Methods:This study included 78 BPH patients admitted in our hospital from June 2021 to June 2023,aged 70.68±8.63 years and with the indication of surgery.We randomly divided them into two groups to receive TUERP(the control group,n=39)and ultrasound-assisted TUERP(the US-TUERP group,n=39).We statistically analyzed and compared the rele-vant parameters obtained before and after operation between the two groups.Results:No statistically significant differences were ob-served in the operation time and bladder irrigation time between the two groups(P>0.05).More glandular tissues were removed but less intraoperative bleeding and fewer perioperative complications occurred in the US-TUERP group than in the control.Compared with the baseline,IPSS,postvoid residual urine volume(PVR),quality of life score(QOL)and maximum urinary flow rate(Qmax)were significantly improved in both groups at 1 and 3 months after surgery,even more significantly in the US-TUERP than in the control group(P<0.05).Conclusion:US-TUERP helps achieve complete resection of the hyperplastic prostatic tissue along the surgical capsule at the anatomical level,with a higher safety,fewer perioperative complications,and better therapeutic effects.
关键词
超声/良性前列腺增生/经尿道前列腺等离子剜除术/前列腺外科包膜Key words
ultrasound/benign prostatic hyperplasia/tansurethral plasma resection of the prostate/prostate surgical capsule引用本文复制引用
出版年
2024
NETL
NSTL
万方数据