单极经尿道前列腺剜切术研究现状

Monopolar transurethral enucleation and resection of the prostate: Status quo of its application and studies

随着医疗技术的不断发展,经尿道前列腺剜除术可以从解剖层次上更为彻底地切除增生腺体,因而其具有既往经尿道前列腺术式所不具有的独特优势,如手术效果好、术后复发率低、患者满意度高等。目前该技术逐渐成熟,主要以经尿道激光前列腺剜除术(LEP)为主,但是受限于LEP术后较高的尿失禁发生率及激光设备高昂的价格,很多基层医院望而却步。正是在这种背景下,单极经尿道前列腺剜切术(mTUERP)渐渐走入临床医生的视野,mTUERP仅仅依靠原有TURP中所使用的设备即可开展,将有可能成为真正替代TURP的新术式,本文正是对该技术的发展和现状进行较为全面的介绍,进而推动该技术的临床应用。

Transurethral enucleation of the prostate allows more complete excision of the proliferative glands at the anatomical level, and has its unique advantages over the traditional surgical procedures, such as better results of surgery, lower recurrence rate, and higher satisfaction of the patients. At present, transurethral laser enucleation of the prostate has a limited application in many grass-root hospitals for the high price of laser and plasma equipment and a high incidence rate of postoperative urinary incontinence. In this context, monopolar transurethral enucleation and resection of the prostate(mTUERP) has come into the attention of clinicians, which can be performed with the equipment for transurethral resection of the prostate(TURP) and may become a real alternative of TURP. This paper presents an overview on the development and present status of mTUERP.