经尿道前列腺等离子电切术前联合经皮膀胱穿刺造瘘术治疗重度前列腺增生的疗效观察

Transurethral plasma resection of prostate combined with percutaneous cystostomy for the treatment of severe prostatic hyperplasia

目的分析经尿道前列腺等离子电切术(TURP)前联合经皮膀胱穿刺造瘘术(SPC)治疗重度前列腺增生的临床价值.方法选择我院外科就诊的98例前列腺增生患者,按手术方法不同分为非联合组(N组,49例)和联合组(L组,49例).N组采取单一TURP术治疗,L组在TURP术前联合SPC术.比较两组患者的临床效果.结果L组患者的手术时间和住院时间均显著短于N组患者,术中出血量更少、腺体总切除体积更大,IPSS、QOL评分更低,残余尿量更少,最大尿流量更多,差异均明显具有统计学意义(P<0.05).结论经尿道前列腺等离子电切术前联合经皮膀胱穿刺造瘘术治疗重度前列腺增生效果显著,值得推广.

Objec t ive To analyze the clinical value of transurethral plasma resection of the prostate(TURP)combined with percutaneous cystostomy(SPC)in the treatment of severe prostatic hyperplasia. Methods Ninety-eight patients with benign prostatic hyperplasia in our hospital were divided into non-combined group(group N,49 cases)and combined group(group L,49 cases)according to different surgical methods.To analyze the clinical value of transurethral plasma resection of the prostate(TURP)combined with percutaneous cystostomy(SPC)in the treatment of severe prostatic hyperplasia.Patients in group N were treated with single TURP and those in group L was treated with SPC before TURP.The clinical effects of the two groups were compared. Results The operation time and hospitalization time of group L were significantly shorter than those of group N,with less bleeding,larger total glandular resection volume,lower IPSS and QOL scores,less residual urine volume and more maximum urine flow.The difference was statistically significant(P<0.05). Conclusion Transurethral plasma resection of the prostate combined with percutaneous cystostomy for the treatment of severe prostatic hyperplasia has a significant effect,which is worthy of promotion.