TUDP与TURP治疗良性前列腺增生的效果对比分析

Comparative analysis of the effect of TUDP and TURP in the treatment of benign prostatic hyperplasia

目的:探讨经尿道前列腺球囊扩裂术(TUDP)与经尿道前列腺电切术(TURP)治疗良性前列腺增生(BPH)的临床效果。方法:收治BPH患者50例,分为TUDP组和TURP组,比较两组治疗效果。结果:TUDP组手术时间、术中出血量、住院时间和住院费用均明显少于TURP组(P<0.05);术后,两组国际前列腺症状评分(IPSS)、生存质量评分(QOL)明显降低(P<0.05),最大尿流率(Q_(max))、剩余尿量(RUV)明显升高(P<0.05),且TURP组变化幅度更大(P<0.05);两组术后并发症发生率分别为7.41%和30.43%(P<0.05)。结论:TURP疗效显著,是现阶段BPH患者首选治疗方案,而TUDP相对更加安全,且操作简单,价格低廉,可作为补充方案用于无法进行TURP治疗的患者。

Objective：To explore the effect of transurethral balloon dilatation of the prostatic balloon（TUDP） and transurethral resection of the prostate（TURP） in the treatment of benign prostatic hyperplasia.Methods：50 patients with BPH were selected,they were divided into the TUDP group and the TURP group,we compared the therapeutic effect of the two groups.Results：In the TUDP group,the operative time,intraoperative blood loss,hospitalization time and hospitalization expenses were significantly less thanthose in the TURP group（P〈0.05）.After operation,the international prostate symptom score（IPSS） and quality of life score（QOL）were significantly decreased in the two groups（P〈0.05）,the maximum urine flow rate（Qmax） and residual urine volume（RUV）were significantly increased（P〈0.05）,and the change range of the TURP group was greater（P〈0.05）.The incidence of postoperative complications in the two groups was 7.41% and 30.43% respectively（P〈0.05）.Conclusion：The curative effect of TURP was remarkable,it was the first choice for BPH patients at this stage,and TUDP was relatively safer,and the operation was simple and the price was low,it can be used as a supplementary program for patients who cannot be treated with TURP.