重度前列腺增生经尿道等离子剜除后腺体取出的3种方法比较

The Comparative Disscusion of Three Different Ways of Removing Glands through Transurethral Plasma Enucleation in Severe Benign Prostatic Hyperplasia Patients

目的探讨经尿道前列腺剜除术在重度前列腺增生患者中的3种不同手术方式的差异及意义。方法选取46例腺体重量超过100 g的等离子TUREP手术作为研究对象,其中TUREP手术16例,TUREP+组织粉碎器手术15例,TUREP+开放手术15例,分别记录并分析3种手术方式的手术时间,术中截石位的持续时间,术中膀胱冲洗的液体量及术中估计出血量。结果3种不同术式的手术时间和术中截石体位持续时间差异有统计学意义(P<0.05)。TUREP+开放手术术中膀胱冲洗液体量明显少于TUREP组和TUREP+组织粉碎器组。结论TUREP+组织粉碎器和TUREP+开放手术可以明显缩短手术时间和患者截石体位的时间,TUREP+开放手术还可以减少术中膀胱冲洗液体量。对于重度前列腺增生患者,应结合患者基本情况合理选择手术方式。

Objective To investigate the differences and significance of three ways of removing glands through transurethral enucleation of the prostate(TUREP)in severe benign prostatic hyperplasia patients.Methods 46 cases of TUREP with large gland(over 100g)were selected as the study subjects.TUREP operation was performed in 16 cases,TUREP with tissue morcellator operation was performed in 15 cases,and TUREP with open operation was performed in another 15 cases.The operation time,lithotomy position time,fluid volume of bladder irrigation during operation and estimated volumes of bleeding during operation were recorded and analyzed.Results There were significant differences in operation time and lithotomy position time among this three different operations(P<0.05).The fluid volume of bladder irrigation in TUREP with open surgery was significantly less than that in TUREP and TUREP with tissue morcellator operation.Conclusion TUREP with tissue morcellator and TUREP with open surgery can significantly shorten the operation time and the patient's lithotomy position time,and TUREP with open surgery can also reduce the amount of bladder irrigation fluid during the operation.For patients with severe benign prostatic hyperplasia,the operation mode should be reasonably and individually selected according to the basic conditions of the patients.