联合膀胱小切口前列腺腔内剜除术治疗高危重度前列腺增生症的临床研究

Comparison between transurethral enucleation of prostate combined with mini-incision on bladder for high-risk prostate hyperplasia

目的对比探讨经尿道前列腺等离子腔内剜除术联合膀胱小切口治疗高危重度前列腺增生症的安全性和有效性。方法 12例高危重度前列腺增生症患者行经尿道前列腺等离子腔内剜除术联合膀胱小切口取出腺体,与10例单纯行经尿道前列腺等离子剜除术(TUPKEP)的高危重度前列腺增生症患者临床资料对比分析。结果联合膀胱切开组手术时间平均(67.5±13.7)min,切除前列腺组织重量平均(90.6±16.6)g,单纯腔内剜除组手术时间平均(87.5±19.6)min,切除前列腺组织重量55～101g,平均(75.5±15.6)g,两组手术时间及切除组织重量相比较差异有显著性(P<0.05),两组术中术后无并发症发生。结论联合膀胱切开的腔内剜除法治疗良性高危重度前列腺增生更为安全高效。

[Objective] To evaluate the efficacy and safety in transurethral plasmaketic enucleation of prostate with mini-incision on bladder for high-risk prostate hyperplasia by comparison with TUPKEP. [Method] Of 22 patients with high-risk prostate hyperplasia, 12 were treated with transurethral plasmaketic enucleation combined with mini-incision on bladder and 10 were treated with transurethral plasmaketic enucleation of prostate （TUPKEP）. Clinic data was analyzed and compared with. [Result] In group of TUPKEP with incision on bladder, average operative time was （67.5±13.7） minutes, and weigh of resected prostate was （90.6±16.6） g; In TUPKEP group, it averagely took （87.5±19.6） minutes for operation, and weigh of resected prostate reached 55～101 g, averagely （75.5±15.6） g; There was significant difference in operative time and weigh of resected prostate in both groups （P 0.05）. And there was no complication in both groups. [Conclusion] Under sufficient preoperative preparation, TUPKEP with incision on bladder is a safer and more effective treatment for high-risk prostate hyperplasia.