经尿道内镜下不同前列腺剜除术式的比较

Comparison of different transurethral endoscopic enucleations of prostate

良性前列腺增生症是中老年男性出现排尿障碍的最常见原因,手术是其有效的治疗手段。经尿道前列腺电切术因在围手术期存在较多并发症,现在临床上逐渐被其他腔内治疗方式取代。经尿道内镜下前列腺剜除术切除腺体彻底,术中视野清晰,出血风险低,患者术后恢复快,具有较高的有效性和安全性。不同的剜除术式在剜除技术、能量平台以及学习曲线上各有优点,但手术成功的关键是正确识别包膜,这与术者熟练程度相关。

Benign prostatic hyperplasia is the most common cause of urination dysfunction in middle-aged and old men,and surgery is its effective treatment.Transurethral resection of the prostate has been gradually replaced by other endovascular treatments because of its many complications in the perioperative period.Endoscopic enucleation of the prostate can achieve anatomic resection,with clear intraoperative field of vision,low risk of bleeding,rapid recovery after surgery,and high efficacy and safety.Different enucleation types have their own advantages in enucleation technique,energy platform and learning curve,but the key to successful operation is to correctly identify the capsule,which is related to the proficiency of the operator.