内镜辅助直视下经尿道柱状水囊前列腺扩开术的疗效分析

The application of endoscopic assisted direct vision in transurethral columnar balloon dilation of the prostate

目的探讨内镜辅助直视下经尿道柱状水囊前列腺扩开术(TUCBDP)在治疗前列腺增生(BPH)中的应用。方法回顾性分析2018年3月至2018年6月间在山西医科大学第一医院行TUCBDP的36例BPH患者的临床资料,比较手术前后患者的国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)及残余尿量(RUV),观察手术时间、出血量、并发症等。结果所有患者的平均手术时间为(32±10)min,术中出血量(19±10)ml。与术前相比,术后随访期间患者的IPSS、QOL、Qmax及RUV均显著改善,差异有统计学意义(P<0.05)。仅2例患者出现拔除尿管后短暂尿失禁,并于拔管后1周恢复,无真性尿失禁发生。结论内镜辅助直视下TUCBDP手术效果确切。通过全程直视下操作,可准确选择导管型号和精准定位,从而保证手术成功率及有效避免术后尿失禁等并发症发生。

Objective To explore the application value of endoscopic assisted operation in the treatment of benign prostatic hyperplasia (BPH) by transurethral columnar balloon dilation of the prostate (TUCBDP). Methods The clinical data of 18 patients with prostate hyperplasia who were treated with TUCBDP in the First Hospital of Shanxi Medical University from March 2018 to June 2018 were analyzed retrospectively. The international prostate symptoms score (IPSS), quality of life (QOL), maximum urinary flow rate (Qmax) and residual urine volume (RUV) were compared before and after surgery, and the operative time and complications were observed. Results The mean operative time of all patients was (32±10) min and the intraoperative blood loss was (19±10) ml. Compared with preoperative results, IPSS, QOL, Qmax and RUV of the patients during postoperative follow-up were significantly improved (P<0.05). One patient suffered transient incontinence after removal of the catheter, and recovered 1 week after removal. There was no true incontinence occurred. Conclusion Endoscopic assisted TUCBDP surgery is effective. The whole operation can be under direct vision, the catheter model and precise positioning can be accurately selected, so as to guarantee the success rate of surgery and effectively avoid the occurrence of postoperative complications such as urinary incontinence.