五分法经尿道前列腺电切术治疗高危重度前列腺增生(附102例报告)

Transurethral resection of the prostate of the five-partition method in high risk patients with large volume BPH(report of 102 cases)

目的探讨经尿道前列腺五分法电切术治疗高龄、高危、重度前列腺增生患者的安全性与疗效。方法高龄高危重度BPH102例,采用前列腺五分法TURP治疗68例,常规法TURP治疗34例,对两组病例的手术时间、切除增生腺体重量、术中出血量、术中输血量、手术前后Qmax、RUV、IPSS、QOL及近期手术并发症发生率等进行比较。结果两组手术均获得成功;与常规法TURP组相比较,五分法TURP组的平均手术时间、术中出血量及输血量明显缩短或减少,而且切除腺体重量较多、近期手术并发症发生率较低,差异有统计学意义(P<0.05)。术后3个月,五分法组与常规法组Qmax、RUV、IPSS及QOL较术前明显改善(P<0.05),但组间无显著性差异(P>0.05)。结论前列腺五分法TURP治疗高龄、高危、重度BPH患者与常规法TURP相比较具有手术时间短、切除增生腺体组织多、术中出血及手术并发症少等,提高了手术的安全疗效。

Objective To explore the clinical efficacy and safety of the transurethral resection of the prostate （TURP） of the five-partition method in high risk patients with advance age and large volume benign prostatic hyperplasia （BPH）. Methods Among 102 patients with severe BPH, 68 cases received TURP of the five-partition method and 34 cases received TURP of the routine method. The operative time, resected tissue weight, intraoperative bleeding volume, blood transfusion volume, pre-and post-operative Qmax, RUV, IPSS, QOL, and short-term operative complication rates were compared between the two groups. Results All resections were successful. Compared with TURP of the routine method, less operative time, larger resected prostate weight, intraoperative bleeding volume, blood transfusion volume and operative complication rates and larger resected prostate weight were obtained in TURP of the five-partition method, the difference was significant （P〈0.05）. With 3 months following up, the Qmax, RUV, IPSS and QOL were significantly improved in both groups （P〈0.05）, there were no significant difference between two groups （P〉0.05）. Conclusion TURP of the five-partition method is a safe and effective method. It could improve the quality of the operation for high risk patients with advance age and large volume BPH, with less operative time, larger resected prostate weight, less bleeding volume and less complication rates during operation.