经尿道前列腺等离子剜除术对良性前列腺增生患者症状及排尿功能的影响

Effect of Transurethral Enucleation and Resection of Prostate on Symptoms and Urinary Function in Patients with Benign Prostatic Hyperplasia

目的探究经尿道前列腺等离子剜除术(TUERP)在良性前列腺增生(BPH)患者中的应用效果.方法选取2017年6月—2021年6月本院收治的200例BPH患者,按随机数字表法分为两组,每组100例.对照组行经尿道前列腺电切术(TURP),观察组行TUERP,均观察至术后3个月.对比两组患者的手术相关指标、BPH症状、排尿功能、生活质量及并发症发生情况.结果观察组的术中出血量为(59.48±3.61)mL,少于对照组的(80.61±5.45)mL,留置尿管时间、手术时间分别为(4.36±0.85)d、(49.45±5.20)min,均短于对照组的(6.15±1.41)d、(72.94±6.31)min,组间差异有统计学意义(P<0.05).术后,观察组的国际前列腺症状量表(IPSS)评分低于对照组,最大尿流率、膀胱顺应性均高于对照组,组间差异有统计学意义(P<0.05).术后,观察组的生活质量综合评定问卷内各维度评分均高于对照组,组间差异有统计学意义(P<0.05).观察组的并发症发生率为5.00%,低于对照组的14.00%,差异有统计学意义(P<0.05).结论TUERP治疗BPH患者的效果确切,与TURP相比,其术中出血量更少,可有效促进患者术后恢复,减轻其临床症状,改善排尿功能及生活质量,减少并发症,值得临床推广使用.

Objective To investigate the effect of transurethral enucleation and resection of prostate(TUERP)in patients with benign prostatic hyperplasia(BPH).Methods 200 patients with BPH admitted to the hospital from June 2017 to June 2021 were selected and were divided into two groups according to random number table method,with 100 patients in each group.The control group received transurethral resection of prostate(TURP),and the observation group received TUERP.Both groups were observed until 3 months after surgery.The operation-related indexes,BPH symptoms,urination function,quality of life and incidence of complications were compared between the two groups.Results The intraoperative blood loss in the observation group was(59.48±3.61)mL,which was less than(80.61±5.45)mL in the control group,the time of catheterization and operation were(4.36±0.85)d and(49.45±5.20)min,respectively,which were shorter than(6.15±1.41)d and(72.94±6.31)min in the control group,and the differences between the groups were statistically significant(P<0.05).After surgery,the International prostate symptom score in the observation group was lower than that in the control group,and the maximum urine flow rate and bladder compliance were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After surgery,the scores of all dimensions in the generic quality of life inventory-74 in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 5.00%,lower than 14.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion TUERP is effective in the treatment of BPH patients.Compared with TURP,TUERP can effectively promote postoperative recovery,reduce clinical symptoms,improve urination function and quality of life,and reduce complications.It is worthy of clinical promotion and use.