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中国现代手术学杂志  2018, Vol. 22 Issue (1): 52-55    DOI: 10.16260/j.cnki.1009-2188.2018.01.014
  临床论著 |
经尿道前列腺等离子剜除术与经尿道前列腺电切术治疗前列腺增生临床疗效分析
何斌1,倪浩东1,唐庆生1,奚鹏山1,周训荣1,潘志华1,屈维龙2
1.江苏省东台市人民医院泌尿外科,东台 224200;2.江苏省昆山市第二人民医院泌尿外科,昆山 215300
Effect Comparison on Transurethral Enucleation of Prostate and Transurethral Resection of the Prostate forBenign Prostatic Hyperplasia
HE Bin1,NI Hao-dong1,TANG Qing-sheng1,XI Peng-shan1,ZHOU Xun-rong1,PAN Zhi-hua1,QU Wei-long2
1.Department?of?Urology?Surgery,Dongtai?People's?Hospital,Dongtai?224200,Jiangsu,China; 2.Department?of?Urology?Surgery,The?Second?People's?Hospital?of?Kunshan,Kunshan?215300,Jiangsu,China
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摘要 目的?比较经尿道前列腺等离子剜除术与经尿道前列腺电切术治疗前列腺增生的疗效。方法?选取2015年1月~2016年5月我院收治的前列腺增生患者120例,按随机数字表分为两组,各60例。观察组行经尿道前列腺等离子剜除术治疗,对照组行经尿道前列腺电切术治疗,比较两组术中、术后指标和远期疗效。结果?观察组术中失血量及手术时间均低于对照组,切除腺体体积大于对照组,差异均有统计学意义(P<0.05),术后持续膀胱冲洗时间、术后留置导尿管时间及住院时间均短于对照组,差异均有统计学意义(P<0.05)。术后6个月观察组IPSS、PVR均低于对照组,Qmax高于对照组,差异均有统计学意义(P<0.05);两组QOL评分比较,差异无统计学意义(P>0.05)。结论?经尿道前列腺等离子剜除术治疗前列腺增生效果可靠,创伤小,患者恢复快,可有效改善术中及术后情况,提高远期疗效,值得推广。
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何斌1,倪浩东1,唐庆生1,奚鹏山1,周训荣1,潘志华1,屈维龙2
关键词:  前列腺增生  经尿道前列腺等离子剜除术  经尿道前列腺电切术    
Abstract: Objective?To compare the efficacy of plasmakinetic transurethral enucleation of prostate (TUERP) and transurethral resection of the prostate (TURP) for benign prostatichyperplasia.Methods?A total of 120 cases with benign prostatichyperplasia (BPH) from January 2015 to May 2016 weredivided into two groups randomly according to the number random table,with 60 cases for each group.The observation group was performed TUERP and the control group was treated by TURP.The index of intra- and post-operation and long-term effect was compared between two groups.Results?Compare to the control group,the intraoperative blood loss and operation time were lower,and the gland resection volume was more in the observation group,and there was statisticaldifference between two groups (P<0.05).Theduration of bladder irrigation,the time of indwelling catheter and the length ofhospital stays in the observation group were shorter than those in the control group,and thedifference was statistically significant (P<0.05).The IPSS score and PVR level were lower,but Qmax washigher of the observation than those of the control group 6 months after the operation,and thedifferences were statistically (P<0.05).Conclusion?TUERP would achieve more benefit reliable effect for BPH,and it can improve intra-and postoperative conditions and increase long-term curative effect.
Key words:  benign prostatichyperplasia    transurethral enucleation of prostate (TUERP)    transurethral resection of the prostate (TURP)
                    发布日期:  2018-08-13      期的出版日期:  2018-08-13
ZTFLH:  R697.32  
基金资助: 苏州市科学技术局医疗卫生应用基础研究指导性立项(编号:SYSD2016039)
通讯作者:  何斌   
作者简介:  何斌,男,31岁,江苏省东台市人民医院泌尿外科主治医师。
引用本文:    
何斌1,倪浩东1,唐庆生1,奚鹏山1,周训荣1,潘志华1,屈维龙2. 经尿道前列腺等离子剜除术与经尿道前列腺电切术治疗前列腺增生临床疗效分析[J]. 中国现代手术学杂志, 2018, 22(1): 52-55.
HE Bin. Effect Comparison on Transurethral Enucleation of Prostate and Transurethral Resection of the Prostate forBenign Prostatic Hyperplasia. Chinese Journal of Modern Operative Surgery, 2018, 22(1): 52-55.
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http://www.surgerychina.com/CN/10.16260/j.cnki.1009-2188.2018.01.014  或          http://www.surgerychina.com/CN/Y2018/V22/I1/52
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