TURP与TUVP治疗良性前列腺增生的疗效比较

Comparison of Curative Effect Between TURP and TUVP in the Treatment of Benign Prostatic Hyperplasia

目的比较经尿道前列腺电切术(TURP)与经尿道双极等离子电切术(TUVP)治疗良性前列腺增生的疗效。方法选择2018年6月~2019年6月在我院治疗的82例良性前列腺增生患者,采用随机数字表法分为对照组和观察组,各41例。对照组采用TURP,观察组采用TUVP,比较两组手术时间、术中出血量、留置尿管时间、前列腺症状评分、尿动力学指标[最大尿流率(Qmax)、最大膀胱容量(VMCC)、残余尿量(PVR)]及并发症发生情况。结果观察组手术时间、术中出血量、留置尿管时间均低于对照组(P<0.05);两组术后前列腺评分均低于术前,且观察组低于对照组(P<0.05);观察组术后Qmax、VMCC高于对照组,PVR低于对照组(P<0.05);术后观察组并发症发生率为4.87%,低于对照组的14.63%(P<0.05)。结论TUVP治疗良性前列腺增生疗效确切,较TURP手术时间短,术中出血量少,术后前列腺恢复好,且并发症发生率低。

Objective To compare the efficacy of transurethral resection of prostate(TURP)and transurethral bipolar plasma resection(TUVP)in the treatment of benign prostatic hyperplasia.Methods A total of 82 patients with benign prostatic hyperplasia who were treated in our hospital from June 2018 to June 2019 were selected and divided into a control group and an observation group with a random number table method,41 cases each.TURP was used in the control group and TUVP was used in the observation group.The operation time,intraoperative blood loss,indwelling catheter time,prostate symptom score,urodynamic index[maximum urinary flow rate(Qmax),maximum bladder capacity(VMCC)Residual urine volume(PVR)]and the occurrence of complications.Results The operation time,intraoperative blood loss,and indwelling catheter time of the observation group were all lower than that of the control group(P<0.05);the postoperative prostate scores of the two groups were lower than before the operation,and the observation group was lower than the control group(P<0.05);postoperative Qmax and VMCC were higher in the observation group than the control group,and PVR was lower than the control group(P<0.05);the incidence of complications in the observation group after operation 4.87%,lower than 14.63%of the control group(P<0.05).Conclusion TUVP has a definite curative effect on the treatment of benign prostatic hyperplasia.It has a shorter operation time than TURP,less intraoperative blood loss,good postoperative prostate recovery,and a low incidence of complications.