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.
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.
[1] 顾利洋,刘晓龙,单玉喜,等.国产2 μm激光治疗高危复发性前列腺增生的疗效观察[J].中华腔镜泌尿外科杂志(电子版),2017,11(6):419-422.|[2] 刘泽涛,于莉,张启波,等.经尿道前列腺电切术和等离子电切术治疗前列腺增生的比较[J].中华腔镜泌尿外科杂志(电子版),2017,11(5):322-325.|[3] 杨博宇,夏术阶.激光治疗良性前列腺增生术后尿失禁与勃起功能障碍的发生及保护策略[J].中华泌尿外科杂志,2017,38(8):637-640.|[4] 邓爱华,刘世伟,刘黎芳.同期经尿道手术治疗非肌层浸润性膀胱癌合并良性前列腺增生患者的临床疗效观察[J].微创泌尿外科杂志,2017,6(3):158-161.|[5] Carnevale FC,Iscaife A,Yoshinaga EM,et al.Transurethral resection of the prostate (TURP) versus original and PErFecTED prostate artery embolization (PAE)due to benign prostatichyperplasia (BPH): preliminary results of a single center,prospective,urodynamic-controlled analysis[J].Cardiovasc Intervent Radiol,2016,39(1):44-52.doi: 10.1007/s00270-015-1202-4.|[6] 吴海啸,朱德胜,郭晓华,等.精准前列腺动脉栓塞术治疗高龄良性前列腺增生症的疗效观察[J].中华泌尿外科杂志,2017,38(7):549-550.|[7] 杨华,徐峰,赖宁,等.经尿道等离子电切术在前列腺增生中的应用效果及对尿动力学参数的影响[J].国际泌尿系统杂志,2017,37(5):719-722.|[8] 康维亭,崔子连.合并下尿路症状/良性前列腺增生和小体积前列腺的膀胱出口梗阻患者的尿动力学特点和显著预测因子[J].泌尿外科杂志(电子版),2016,8(2):64.|[9] Namdarian B,Willder S,Steele G,et al.Establishment of a urology service in adeveloping country: an observational study of outcomes in transurethral prostate resection procedures in Vanuatu[J].Lancet,2015,385 Suppl 2:S26.doi: 10.1016/S0140-6736(15)60821-2.|[10] 郭吉楠,黄向江,肖克峰,等.前列腺增生并发膀胱结石的高危因素分析[J].微创泌尿外科杂志,2017,6(3):165-167.|[11] 尤平洪,李令勋,段晓波,等.小功率钬激光前列腺剜除术在良性前列腺增生治疗中的临床价值[J].国际泌尿系统杂志,2017,37(5):698-700.|[12] 王忠,陈彦博,陈其,等.经尿道前列腺等离子切除术与钬激光剜除术治疗良性前列腺增生的疗效和安全性比较[J].中华泌尿外科杂志,2015,35(5):349-353.|[13] Thomas JA,Tubaro A,Barber N,et al.A multicenter randomized noninferiority trial comparing greenLight-XPS laser vaporization of the prostate and transurethral resection of the prostate for the treatment of benign prostatic obstruction: two-yr outcomes of the GOLIATH study[J].Eur Urol,2016,69(1):94-102.doi: 10.1016/j.eururo.2015.07.054.|[14] 裴昕奇,吴开杰,陈兴发,等.前列腺特异性抗原异常的前列腺增生患者穿刺及术后病理特征分析[J].现代泌尿外科杂志,2017,22(9):678-681.|[15] 杨中华,刘同族,王行环,等.经尿道前列腺铥激光汽化术与等离子切除术治疗前列腺增生疗效的5年随访比较[J].现代泌尿外科杂志,2016,21(10):764-767.|[16] 张浩,司徒杰,李名钊,等.侧入路4步法经尿道前列腺等离子解剖性剜除术治疗大体积前列腺增生[J].中华泌尿外科杂志,2016,10(1):5-7.|[17] Pastore AL,Palleschi G,Silvestri L,et al.Laparoscopic radical prostatectomy after previous transurethral resection of prostate using a catheter balloon inflated in prostatic urethra: Oncological and functional outcomes from a matched pair analysis[J].Int J Urol,2015,22(11):1037-1042.doi: 10.1111/iju.12869.