经尿道前列腺电切术联合膀胱颈内切开治疗小体积前列腺增生临床疗效分析

Clinical effect analysis of transurethral resection prostate (TURP) combined with transurethral incision of bladder neck (TUIBN) for treating with small volume prostate hyperplasia

目的探讨分析经尿道前列腺电切术联合膀胱颈内切开治疗小体积前列腺增生的临床疗效。方法收集98例小体积前列腺增生患者,按手术方式分为A组与B组,A组采用经尿道前列腺电切术(TURP)联合膀胱颈内切开(TUIBN)治疗,而B组单用经尿道前列腺电切术治疗,观察并随访半年,比较两组患者治疗前后国际前列腺症状评分(IPSS)、最大尿流率(Qmax)、残余尿量(RUV)及并发症发生情况。结果经治疗A组患者IPSS明显低于B组,Qmax高于B组,RUV小于B组,两组相比均有显著性差异(P<0.05);且A组并发症发生率6%明显低于B组14.58%,两组相比亦有显著性差异(P<0.05)。结论经尿道前列腺电切术联合膀胱颈内切开治疗小体积前列腺增生疗效肯定,临床值得推广。

【Objective】To study the clinical effect of TURP combined with TUIBN in treating with small volume prostate hyperplasia.【Methods】98 patients with small volume prostatic hyperplasia were collected,and they were divided into group A and group B according to the surgical approach.Group A was given TURP combined with TUIBN for treatment while group B was only received TURP.All of the patients were followed up for 6 months,the international Prostate Symptom Score（IPSS）,Qave maximum（Qmax）,Residual urine volume（RUV）,and complications were compared between the two groups.【Results】After the treatment,the IPSS in group A was lower than group B,Qmax was higher than group B and RUV was lower than group B,there were significant differences in IPSS,Qmax and RUV between the two groups（P〈0.05）;the complication rate in group A was 6% significantly lower than14.58% of group B（P〈0.05）.【Conclusion】TURP combined with TUIBN for treating with small volume prostate hyperplasia is effective,and it should be applied in the clinical.