首页|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

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

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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.
Application value of ultrasound technology in transurethral enucleation and resection of the prostate
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.

ultrasoundbenign prostatic hyperplasiatansurethral plasma resection of the prostateprostate surgical capsule

熊宇、陆烽烽、蒋齐、宋震乾、朱晓峰、朱泽鹏、位志峰、姚爱兵

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南京医科大学第四附属医院泌尿外科,江苏 南京 210029

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

国家自然科学基金

82070773

2024

中华男科学杂志
南京军区南京总医院

中华男科学杂志

CSTPCD
影响因子:1.052
ISSN:1009-3591
年,卷(期):2024.30(4)
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