TUPKVP联合TUIBN术治疗小前列腺增生所致膀胱出口梗阻临床研究

Observing Effect of Treating Small Benign Prostatic Hyperplasia with Bladder Outlet Obstruction by Bipolar Vaporization Combined with Transurethral Resection of Bladder Neck Operation

目的:采用TUPKVP联合TUIBN术治疗小体积BPH所致的BOO的临床疗效。方法:选择2009年6月-2012年6月我院收治的单纯小体积BPH致BOO患者56例,入院先后1∶1比例随机分TURP组28例,采用TURP联合TUIBN手术治疗;TUPKVP组28例,采用TUPKVP联合TUIBN手术治疗,比较两组手术时间、术中出血量、切除组织重量、灌洗液量、留置尿管时间、近期并发症,术前与术后3个月IPSS、QOL、PVR、Qmax。结果:TUPKVP组手术时间、术后置管时间较TURP组明显缩短,术中出血量、灌洗液量明显减少(P<0.05);两组灌洗液量及置管时间、近期并发症发生率无明显差异(P>0.05);两组患者术后3个月的Qmax、PRV、IPSS评分、QOL评分较同组术前明显改善(P<0.05);TUPKVP组患者术后3个月Qmax、PRV、IPSS评分、QOL评分的改善程度较TURP组明显。结论:TUPKVP联合TUIBN术治疗小体积BPH所致的BOO,安全性高,临床效果极佳,且操作简便,可作为小体积BPH所致的BOO首选方法。

Objective：To investigate the clinical efficacy of reating small BPH with 13OO by TUPKVP combined with TUIBN. Methods：56 cases of patients with BPH with t3OO in our hospital between June 2009 and June 2012 were se- lected and randomly divided into TURP group there was 28 cases, using TURP and TUIBN operation; TUPKVP group there was 28 cases, using TUPKVP combined with TUIBN operation, the operation time, bleeding during operation, weight of resected tissue, lavage fluid volume, indwelling catheter time, complications, preoperative and postoperative 3 months＇ IPSS, QOL, PVR, Qrnax of two groups were compared. Results. The operation time, postoperative catheter time of TUPKVP group were shorter than TURP group, the bleeding during operation and lavage fluid volume were significantly reduced （P〈0. 05） ;two groups~ lavage fluid volume and indwelling time, complications had no significant difference （P^0. 05） ~two groups~ postoperative 3 month＇s Qmax,PRV, IPSS score, QOL score were higher than that in the same group（P〈0. 05） ;TUPKVP group＇s Qmax, PRV, IPSS score, QOL score were higher than that of TURP group. Conclusion.. Treating small BPH with BOO by TUPKVP combined with TUIBN has high safety, its clinical effect is good, and its operation is simple, it can be used as preferred method for small volume of BPH with BOO.