前列腺突入膀胱程度对前列腺增生患者前列腺等离子电切术后效果的预测评估作用

Intravesical prostatic protrusion predicts the postoperative outcomes of bipolar transurethral plasma kinetic prostatectomy in patients with benign prostatic hyperplas

目的 探讨前列腺突入膀胱程度（IPP）对前列腺增生（BPH）患者行前列腺等离子电切术（TUPKP）术后临床效果的预测评估作用.方法 将确诊为BPH的198例患者根据IPP程度将患者分为突入组（IPP＞ 10 mm） 82例,对照组（IPP≤10 mm） 116例,比较两组术前和TUPKP术后6个月国际前列腺症状评分（IPSS）、生活质量评分（QOL）、最大尿流率（Qmax）3个指标的变化.结果 两组年龄、术前IPSS、QOL指标比较差异无统计学意义（P＞0.05）,但术前Qmax指标两组比较差异有统计学意义[突入组：（7.85±2.73）ml/s;对照组：（9.37 ±3.41） ml/s,P＜0.05].两组TUPKP术后随访6个月,IPP突入组IPSS术前术后改变值[-（13.26±3.14）分]、QOL评分术前术后改变值[-（2.61±1.43）分]及Qmax术前术后改变值[（8.89±2.82） ml/s]与IPP对照组[-（8.23±4.02）分、-（2.06±0.86）分、（6.23±1.92） ml/s]比较均有明显的改变,差异均有统计学意义（P＜0.05）.结论 IPP可作为预测TUPKP术后BPH患者IPSS、QOL评分和Qmax变化的一个指标,为BPH患者术后临床效果评估提供参考.

Objective To study the effect of intravesical prostatic protrusion （IPP） in predicting postoperative outcomes of bipolar transurethral plasma kinetic prostatectomy （TUPKP） in patients with benign prostatic hyperplas （BPH）.Methods The clinical data of 198 cases of BPH patients treated with TUPKP during a follow-up period of 6 months were analyzed.These patients were divided into two groups on the basis of the degree of IPP： the IPP group （IPP 〉 10 mm, n =82） and the control group （IPP ≤ 10 mm, n =116）.Preoperative and postoperative changes in clinical parameters, such as the International Prostate Symptom Score （IPSS）, quality-of-life （QOL） score and maximum urinary flow rate （Qmax） were analyzed.Results There were no statistical differences in age and preoperative IPSS, QOL between the two groups （P 〉 0.05）, and preoperative Qmax was lower in the IPP group than in the control group [（7.85 ±2.73） ml/s vs.（9.37 ±3.41） ml/s,P 〈0.05].Postoperative changes in IPSS, QOL score and Qmax were significantly greater in IPP group than those in the control group [-（13.26±3.14）, -（2.61 ± 1.43）, （8.89 ±2.82） ml/s vs.-（8.23 ±4.02）,-（2.06 ±0.86）, （6.23 ± 1.92） ml/s, P 〈 0.05].Conclusion IPP as an independent factor can significantly predicte postoperative outcomes of IPSS, QOL score and Qmax change in BPH patients with TUPKP, and provide reference for postoperative clinical effect assessment in BPH patients.