普通电切镜经尿道行前列腺剜除术治疗良性前列腺增生的疗效

Efficacy of transurethral enucleative resection of prostate using conventional resectoscope

目的探讨以普通电切镜经尿道行前列腺剜除术(transurethral enucleative resection of prostate,TUERP)治疗良性前列腺增生(benign prostatic hyperplasia,BPH)的效果。方法回顾性分析86例采用TUERP治疗BPH患者的临床资料,分别比较术前、术后国际前列腺症状评分(IPSS)、生活质量指数(QOL)、最大尿流率(Qmax)、残余尿量(PVR)情况。结果手术均顺利完成,平均手术时间(62.7±19.3)min,切除腺体平均重量(37.2±8.5)g。术后IPSS由术前(23.9±5.2)分降至(5.4±3.7)分,QOL由术前(4.6±1.1)分降至(1.2±0.9)分,Qmax由术前(6.3±2.0)ml/s上升至(21.0±3.6)ml/s,PVR由术前(149.0±35.8)ml降至(21.2±9.9)ml。术后3例出现暂时性尿失禁,1例出现尿道外口狭窄,经治疗后痊愈。结论 TUERP术具有手术时间短、并发症少、术后恢复快、症状解除明显等优点,是治疗BPH的安全、有效的治疗方法。

Objective To investigate the efficacy of transurethral enucleative resection of prostate（ TUERP） with conventional resectoscope in the treatment of benign prostatic hyperplasia（ BPH）. Methods The clinical data of 86 BPH patients treated with TUERP were analyzed retrospectively. International Prostate Symptom Score（ IPSS）,the index of life quality（ QOL）,maximum urinary flow rate（ Qmax） and residual urine volume（ PVR） before and after the treatment were compared respectively. Results The operation was completed successfully in all the 86 patients,and the average operation time was（ 62. 7 ± 19. 3） min; the average removed glands were（ 37. 2 ± 8. 5） g in weight. The IPSS decreased from（ 23. 9 ± 5. 2） points to（ 5. 4 ± 3. 7） points; QOL decreased from（ 4. 6 ± 1. 1）points to（ 1. 2 ± 0. 9） points; Qmax increased from（ 6. 3 ± 2. 0） ml / s to（ 21. 0 ± 3. 6） ml / s; PVR decreased from（ 149. 0 ± 35. 8） ml to（ 21. 2 ± 9. 9） ml. Three patients had postoperative transient urinary incontimence,and 1 patient had urethral stricture,but recovered after treatment. Conclusions Compared with transurethral resection of prostate（ TURP）,TUERP has the advantages of short operation time,less complications,quick recovery and obvious symptom relief. It is a safe and effective therapy for BPH.