经尿道前列腺电切术前联合膀胱穿刺造瘘术治疗大体积良性前列腺增生症的临床价值

Transurethral resection of the prostate after suprapubic cystostomy in treatment of massive benign prostatic hyperplasia

目的分析经尿道前列腺电切术前联合膀胱穿刺造瘘术治疗大体积良性前列腺增生症的临床价值。方法选择宜兴市第四人民医院泌尿外科和宿迁市洋河人民医院泌尿外科住院治疗的80例大体积良性前列腺增生症(前列腺体积超过75 g)患者,年龄55~86岁,按不同手术方法分为试验组(经尿道前列腺电切术联合术前耻骨上膀胱穿刺造瘘术治疗)和对照组(单纯经尿道前列腺电切术治疗),各40例。比较两组手术时间、血红蛋白下降量、切除前列腺组织碎片的体积。结果试验组手术时间和出血量均显著少于对照组[(65.2±7.5)min比(110.6±16.8)min、(10.0±3.5)g/L比(18.7±2.3)g/L,均P<0.05];试验组和对照组切除前列腺组织碎片的体积差异无统计学意义[(52.3±6.1)ml比(51.8±5.2)ml,P>0.05]。结论经尿道前列腺电切术联合经皮膀胱穿刺造瘘术治疗大体积良性前列腺增生症能够减少手术时间和术中出血量。

Objective To analyze the clinical value of transurethral resection of the prostate after suprapubic cystostomy in the treatment of massive benign prostatic hyperplasia.Methods Eighty 55-86 years old patients with massive benign prostatic hyperplasia whose prostate volume was over 75 ml and who were treated at the departments of urological surgery of these two hospitals were selected,and were divided into an experimental group,treated by transurethral resection of the prostate after suprapubic cystostomy,and a control group,only treated by transurethral resection of prostate,according to the operations,with 40 cases in each group.The operation times,decreased quantities of hemoglobin,and volumes of removed prostate tissue fragments were compared between the two groups.Results The operation time and decreased quantity of hemoglobin were less in the experimental group than in the control group[(65.2±7.5)min vs.(110.6±16.8)min and(10.0±3.5)g/L vs.(18.7±2.3)g/L,both P<0.05].The volume of removed prostate tissue fragments was(52.3±6.1)ml in the experimental group and was(51.8±5.2)ml in the control group,with no statistical difference(P>0.05).Conclusion Transurethral resection of the prostate after suprapubic cystostomy in the treatment of massive benign prostatic hyperplasia can reduce operation time and decreased quantity of hemoglobin.