经尿道前列腺剜除术及前列腺电切术治疗老年前列腺增生的疗效比较

Comparative study on effect of transurethral enucleation of prostate and transurethral resection of prostate in the treatment of elderly patients with benign prostatic hyperplasia

目的 对比经尿道前列腺剜除术及前列腺电切术治疗老年前列腺增生（BPH）的疗效.方法 选取110例符合BPH诊断的患者,根据不同手术方式将其分为观察组及对照组,每组55例.观察组采用经尿道双极等离子剜除术,对照组采用经尿道双极等离子前列腺电切术,比较两组治疗效果.结果 观察组术中冲洗液血红蛋白、手术时间、膀胱冲洗时间、留置尿管时间均明显少于对照组;观察组出现短期尿失禁的发生率明显高于对照组,但包膜穿孔、膀胱刺激征、术后再次留置尿管的发生率均明显低于对照组,差异有统计学意义（P〈0.05）.术前两组前列腺症状评分、生活质量评分、最大尿流率、残余尿量比较差异未见统计学意义（P〉0.05）;术后均较术前明显改善,但两组比较差异未见统计学意义（P〉0.05）.结论 采用经尿道双极等离子前列腺剜除术疗效优于电切术,值得临床推广应用.

Objective To compare the curative effect of transurethral enucleation of prostate and transurethral resection of prostate（TURP） in the treatment of elderly patients with benign prostatic hyperplasia（BPH）.Methods One hundred and ten elderly patients with BPH were selected, they were divided into the observation group and control group according to the different ways of operation, with 55 cases in each group.The observation group received transurethral enucleation of prostate, and the control group received TURP, the treatment effect of the two groups were compared.Results Intraoperative rinses hemoglobin, operation time, bladder douche time, time of inurethral catheter of observation group were significantly shorter than those of control group, but the short-term urinary incontinence incidence in observation group was obviously higher than that in control group;The incidence of capsular perforation, bladder irritation, postoperative urinary tube again rate of observation group were significantly lower than those of control group, the differences were significant （P〈0.05）.Preoperative IPSS, QOL, Qmax and PVR of the two groups had no obvious difference, and both obviously improved compared with preoperative, but the difference had no significant between the two groups （P〉0.05）.Conclusions Transurethral enucleation of prostate has an exact effect, and be worthy of clinical popularization and application.