经尿道前列腺电切术治疗前列腺增生症两种方法的比较

Clinical effects between two ways of transurethral resection of the prostate for the treatment of benign prostatic hyperplasia

目的探讨改良标志沟法经尿道前列腺切除术(TURP)治疗前列腺增生症(BPH)的临床效果。方法中重度BPH 177例,采用改良标志沟法TURP治疗90例,常规法TURP治疗87例,对两组病例的手术腺体切除量、手术时间、术中出血量等进行比较。结果两组手术均获得成功。改良标志沟法TURP组平均手术时间(62.0±7.3)min,术中出血量(135.0±43.5)mL;常规TURP法分别为(76.1±7.7)min和(232.0±82.0)mL,差异有显著性(P<0.05);切除腺体重量、术后3个月Qmax、RUV、IPSS、QOL组间差异无显著性(P>0.05),但较术前明显改善(P<0.05)。输血率、手术并发症发生率改良标志沟法TURP组低。结论改良标志沟法TURP治疗BPH具有手术时间短、术中出血及手术并发症少等优点,安全,可行。

[Objective] To explore the clinical efficacy of the transurethral resection of the prostate （TURP） by modified mark ditch method in benign prostatic hyperplasia （BPH）. [Methods] Among 177 patients with middle to large-sized BPH, 90 cases received TURP of the modified mark ditch method and 87 cases received TURP of the routine method. The resected tissue weight, operative time, bleeding volume during operation and others were com- pared between the two groups patients. [Results] All resections were successful. In the TURP of the modified mark ditch method ,the operation time was （62.0±7.3） min, and the bleeding volume during operation was （135.0±43.5） mL. In the TURP of the routine method, they were （76.1±7.7） min and （232.0±82.0） mL. The difference was significant （P 〈0.05）. The resected tissue weight, the Qmax, RUV, IPSS and QOL with 3 months following up, were significantly im- proved in both groups （P 〈0.05）, there were no significant difference between two groups （P 〉0.05）. Blood transfusion rates and operative complication rates in the cases received TURP of the modified mark ditch method were lower. [Conclusion] TURP by modified mark ditch methods is a safe and effective method. It could improve the quality of operation for middle to large-sized BPH, with less operative time and less bleeding volume during operation.