TUAEP联合组织刨削器治疗前列腺增生的临床效果及安全性分析

Analysis of Clinical Efficacy and Safety of TUAEP Combined with Tissue Planer in Treatment of Benign Prostatic Hyperplasia

目的:探讨经尿道前列腺解剖性剜除术(transurethral anatomical enucleation of prostate,TUAEP)联合组织刨削器治疗前列腺增生的临床效果及安全性。方法:选取2017年5月-2019年7月就诊于笔者所在医院的82例前列腺增生患者,按随机数字表法分为A组(39例)、B组(43例),A组行TUAEP联合组织刨削器治疗,B组行常规TUAEP治疗。对比两组围手术期相关指标、并发症、术后最大尿流率(Qmax)、国际前列腺症状评分(IPSS)、残余尿量(RUV)。结果:A组前列腺切除体积大于B组,术中失血量低于B组,手术时间短于B组,差异均有统计学意义(P<0.05);两组术后住院时间、膀胱冲洗时间、术后各并发症发生率比较差异无统计学意义(P>0.05);术后两组IPSS、Qmax、RUV均优于术前,组间比较差异无统计学意义(P>0.05)。结论:前列腺增生患者接受TUAEP联合组织刨削器治疗可缩短手术用时,减少术中出血量,切除前列腺体积更彻底,且手术安全性和术后恢复效果与常规TUAEP术相当。

Objective:To investigate the clinical efficacy and safety of transurethral anatomical enucleation of prostate (TUAEP) combined with tissue planer in treatment of benign prostatic hyperplasia.Method:A total of 82 patients with benign prostatic hyperplasia who were treated in our hospital from May 2017 to July 2019 were divided into group A (39 patients) and group B (43 patients) according to the random number table method.Group A was treated with TUAEP and tissue planer,and group B was treated with conventional TUAEP.Perioperative indexes,complications,postoperative maximum urine flow rate (Qmax),international prostate symptom score (IPSS),and residual urine volume (RUV) were compared between the two groups.Result:The volume of prostatectomy in group A was larger than that in group B,the intraoperative blood loss was lower than that in group B,and the operative time was shorter than that in group B,the differences were statistically significant (P<0.05).There were no statistically significant differences between the two groups in postoperative hospital stay,bladder irrigation time and postoperative complication incidence (P>0.05).The IPSS,Qmax and RUV in the two groups were all better than those before the operation,and the difference between the two groups was not statistically significant (P>0.05).Conclusion:The treatment of patients with benign prostatic hyperplasia with TUAEP combined with tissue planer can shorten the operation time,reduce the amount of bleeding during the operation,remove the prostate volume more thoroughly,and the surgical safety and postoperative recovery effect are comparable to conventional TUAEP.