经尿道前列腺等离子双极电切术前联合膀胱穿刺造瘘术治疗良性前列腺增生症的应用价值

The Study on the Transurethral Bipolar Plasma Kinetic Prostatectomy Combined with Percutaneous Cystostomy for the Treatment of Benign Prostatic Hyperplasia

目的探讨经尿道前列腺等离子双极电切术(transurethral bipolar plasma kinetic prostatecto-my,TUPKP)前联合经皮膀胱穿刺造瘘术(percutaneous cystostomy,SPC)治疗良性前列腺增生(benign pros-tatic hyperplasia,BPH)的临床价值.方法选择于作者单位就诊的BPH患者40例,按照手术方法不同随机分为联合组(C组,20例)和非联合组(N组,20例).C组在TUPKP术前联合SPC,N组采取单一TUP-KP治疗.比较分析两组术前病情资料,及手术中、术后各项指标.结果C组在膀胱冲洗时间和术后住院时间均短于N组患者,手术时间更长,术中出血量更少,并发症发生率更低,差异均明显具有统计学意义(P<0.05).两组手术前后IPSS评分、Qmax相比,差异均明显具有统计学意义(P<0.05),术后组间IPSS评分、Qmax相比,差异无统计学意义(P>0.05).结论经尿道前列腺等离子双极电切术前联合经皮膀胱穿刺造瘘术治疗BPH具有明显优势,值得推广.

Objective To analyze the clinical value of transurethral bipolar plasma kinetic prostatectomy(TUPKP)combined with percutaneous cystostomy(SPC)for the treatment of benign prostatic hyperplasia(BPH).Methods 40 patients with BPH in the authors’department were divided into non-combined group(group N,20 cases)and SPC combined group(group C,20 cases).The patients in group C were treated with SPC before TUPKP and those in group N was treated with single TUPKP.The patients situation before and after surgery were compared.Results The bladder irrigation time and postoperative hospitalization of group C were significantly shorter than those of group N,with longer operation time,less bleeding and complications.The differences were statistically significant(P<0.05).Before and after the treatment,the differences of the IPSS score,Qmax contrast were statistically significant(P<0.05).The differences of the IPSS score and Qmax between the two groups were statistically significant(P>0.05).Conclusions Transurethral bipolar plasma kinetic prostatectomy combined with percutaneous cystostomy for the treatment of benign prostatic hyperplasia has the obvious advantages,which is worthy of recommendation.