治疗前列腺增生两种方法的对比研究

Contrastive Studies of Two Methods in Treating Benign Prostatic Hyperplasia(BPH)

目的:比较经尿道前列腺电切术和耻骨上前列腺摘除术治疗前列腺增生的效果。方法:91例前列腺增生症患者随机分为经尿道前列腺电切术(TURP组,46例)和耻骨上前列腺摘除术(SPPC组,45例)两组。通过国际前列腺症状评分表(I—PSS)、残余尿(PVR)、最大尿流率(Qmax)、生活质量评分表(QOL)和出血量来评价两组患者的治疗效果。结果:两组患者治疗前的比较I—PSS等比较无统计学意义(P>0.05)。两组患者术前、术后3个月I—PSS、QOL、Qmax、PVR,经检验均有显著性差异(P<0.05),表明A与B组之间改善情况相比无显著性差异(均P>0.05)。结论:经尿道前列腺电切术比耻骨上前列腺摘除术具有出血量小,手术时间短,术后留置尿管时间短,住院时间短的优点。

Objective：To compare the efficacy of transurethral resection ot the prostate （ TURP）and suprapublc open prostatectomy （SPPC）. Method：91 patients with BPH were randomly divided into two groups： 46 eases in group TURP transurethral resection of the prostate（ TURP）and 45 eases in group SPPC with suprapubic open prostatec- tomy （SPPC）. Curative effects were compared and evaluated in the aspects of I-PSS, PVR, Qmax, AOL and bledding amount. Result：there is no stasties difference in I-PSS before treatment between the two groups （P 〉0.05 ）.3 months after treatment, there is signifieant difference between the two groups in I-PSS, QOL, Qmax and PVR （P〈0.05）. That is to say no significant difference is found as to the improvement condition （average P 〉0.05 ）. Conclusion：Compared with SPPC, TURP has less bleeding, shorter surgery time, less indwelling catheter time and shorter hospitalization.