[1]唐青 庞俊 吴奇.经尿道前列腺剜除术治疗大体积前列腺增生[J].中华腔镜泌尿外科杂志(电子版),2015,(04):274-277.[doi:10.3877/cma.j.issn.1674-3253.2015.04.010 ]
 Tang Qing,Pang Jun,Wu Qi..Transurethral enucleation of the prostate for large volume prostatic hyperplasia[J].,2015,(04):274-277.[doi:10.3877/cma.j.issn.1674-3253.2015.04.010 ]
点击复制

经尿道前列腺剜除术治疗大体积前列腺增生()
分享到:

中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2015年04期
页码:
274-277
栏目:
临床研究
出版日期:
2015-12-30

文章信息/Info

Title:
Transurethral enucleation of the prostate for large volume prostatic hyperplasia
作者:
唐青 1庞俊 2吴奇 1
332000 江西九江,九江学院附属医院泌尿外科1;510630 广州,中山大学附属第三医院泌尿外科2
Author(s):
Tang Qing1 Pang Jun2 Wu Qi1.
Department of Urology, the Affiliated Hospital of Jiujiang College, Jiujiang 332000, China; 2Department of Urology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
关键词:
前列腺增生大体积前列腺剜除术
DOI:
10.3877/cma.j.issn.1674-3253.2015.04.010
摘要:
目的探讨经尿道前列腺剜除术治疗大体积前列腺增生的经验和效果。方法收集 2008年 5月至 2013年 8月,九江学院附属医院前列腺体积 >80 ml患者 57例,年龄 60~83岁,采用经尿道前列腺剜除术治疗,对其临床资料进行分析总结。结果剜除术时间 10~30 min,收获式切割时间 40~70 min,国际前列腺症状评分( IPSS)由术前( 27.0±2.1)分降至术后( 5.4±0.3)分,生活质量评分(QOL)由术前( 4.1±0.8)分降至术后( 2.1±0.7)分,最大尿流率( Qmax)由术前( 6.5±1.5)ml/s升至术后(18.6±2.1)ml/s,残余尿量( RUV)由术前( 124.0±8.7)ml降至术后( 21.0±5.2)ml,无围手术期死亡,术后随访 1个月,未发现术后尿失禁及排尿困难。结论经尿道前列腺剜除术是治疗大体积前列腺增生的有效方法。

参考文献/References:

[1]刘春晓.经尿道前列腺剜除术 [J/CD].中华腔镜泌尿外科杂志:电子版, 2009, 3(1): 54. [2]单存密 ,柳荣强 ,王德昕 ,等.应用普通电切镜行经尿道前列腺剜除术 1000例报告 [J].现代泌尿外科杂志, 2013, 18(2): 198-199. [3]杨帝宽 ,刘春晓 .经尿道前列腺剜除术 [J/CD].中华腔镜泌尿外科杂志:电子版, 2011, 5(6): 516-518. [4] Zhang KY, Xing JC, Chen BS, et al. Bipolar plasmakinetic transurethral resection of the prostate vs. transurethral enucleation and resection of the prostate: pre-and postoperative comparisons of parameters used in assessing benign prostatic enlargement [J]. Singapore Med J, 2011, 52(10): 747. [5]孙江江 ,杨龙 ,王宝龙 ,等. 120W/2 μm铥激光前列腺汽化剜除术治疗 BPH的疗效观察 [J].临床泌尿外科杂志, 2013, 28(4): 273-275. [6] Maheshwari PN, Joshi N, Maheshwari RP. Best laser for prostatectomy in the year 2013 [J]. Indian J Urol, 2013, 29 (3): 236-243. [7] Lowrance WT, Southwick A, Maschino AC, et al. Contemporary practice patterns of endoscopic surgical management for benign prostatic hyperplasia among urologists in the United States [J]. J Urol, 2013, 189(5): 1811-1816. [8]那彦群 ,叶章群 ,孙颖浩 ,等. 2014版中国泌尿外科疾病诊断治疗指南[M].北京:人民卫生出版社, 2013, 260. [9] Ou R, Deng X, Yang W, et al. Transurethral enucleation and resection of the prostate vs transvesical prostatectomy for prostate volumes >80 ml: a prospective randomized study [J]. BJU Int, 2013, 112(2): 239-245. [10] Geavlete B, Stanescu F, Iacoboaie C, et al. Bipolar plasma enucleation of the prostate vs open prostatectomy in large benign prostatic hyperplasia cases a medium term, prospective, randomized comparison[J]. BJU Int, 2013, 111(5): 793-803. [11]毛厚平 ,魏勇 ,曹林升 ,等.经尿道前列腺剜除术 [J].中国男科学杂志, 2007, 21(1): 50-51. [12] Liao N, Yu J. A study comparing plasmakinetic enucleation with bipolar plasmakinetic resection of the prostate for benign prostatic hyperplasia[J]. J Endourol, 2012, 26(7): 884-888. [13]吴尔岸 ,狄金明 ,吴杰英 ,等.经尿道前列腺剜除术联合膀胱小切口治疗高危大体积前列腺增生[J/CD].中华腔镜泌尿外科杂志:电子版, 2013, 7(5): 51-54. [14]关刚强 ,谢小平 ,何燊 ,等.经尿道前列腺电切术与经尿道前列腺剜除加腹部小切口术治疗大体积前列腺增生的疗效比较 [J/CD].中华腔镜泌尿外科杂志:电子版, 2012, 6(2): 114-116. [15] Zhu L, Chen S, Yang S, et al. Electrosurgical enucleation versus bipolar transurethral resection for prostates larger than 70 ml: a prospective, randomized trial with 5-year followup [J]. J Urol, 2013, 189(4): 1427-1431.

相似文献/References:

[1]邓立文,涂响安,邓春华.经尿道前列腺电切术后谵妄诊治的临床分析[J].中华腔镜泌尿外科杂志(电子版),2008,(02):118.
 DENG Li-wen,TU Xian-gan,DENG Chun-hua.Clinical analysis of postoperative delirium in transurethral resection of the prostate[J].,2008,(04):118.
[2]王亮,李黎明,崔喆,等.经尿道前列腺等离子双极电切术与普通电切术中失血量比较[J].中华腔镜泌尿外科杂志(电子版),2009,(01):11.
 WANG Liang,LI Li-ming,CUI Zhe,et al.Blood loss comparison of transurethral plasmakinetic resection versus conventional transurethral resection of the prostate[J].,2009,(04):11.
[3]杨德林,柯昌兴,王剑松,等.等离子电切术中不同方法治疗前列腺增生症(附1900例报告)[J].中华腔镜泌尿外科杂志(电子版),2009,(01):37.
 YANG De-lin,KE Chang-xing,WANG Jian-song,et al.Various methods of transurethral plasmakinetic resection of prostate for the treatment of BPH ( Report of 1900 cases)[J].,2009,(04):37.
[4]何志新,温天奋,彭晓东,等.经尿道前列腺汽化电切术治疗前列腺增生症[J].中华腔镜泌尿外科杂志(电子版),2009,(04):309.
[5]李方,徐友明,刘进,等.膀胱颈切开防止小体积前列腺汽化电切术后膀胱颈挛缩的回顾研究[J].中华腔镜泌尿外科杂志(电子版),2009,(06):508.
 LI Fang,XU You-ming,LIU Jin,et al.Compare the contracture of the bladder neck after TUVP with bladder neck incision or not in patients with small prostate: a retrospective study[J].,2009,(04):508.
[6]杨志国,赵海东,刘永江,等.急诊经尿道前列腺电切治疗良性前列腺增生并急性尿潴留[J].中华腔镜泌尿外科杂志(电子版),2010,(01):46.
 YANG Zhi-guo,ZHAO Hai-dong,LIU Yong-jiang,et al.Transurethral resection of the prostate as emergency surgery for the treatment of BPH with acute urinary retention[J].,2010,(04):46.
[7]宋金亮,张斌.经尿道前列腺等离子电切术治疗合并糖尿病的良性前列腺增生症[J].中华腔镜泌尿外科杂志(电子版),2010,(01):69.
[8]王玉亭,李金海.前列腺汽化电切术后出血原因及治疗对策分析[J].中华腔镜泌尿外科杂志(电子版),2010,(03):204.
 WANG Yu-ting,LI Jin-hai.Analysis of the reasons and treatments of bleeding after tranurethral vaporization of the prostate[J].,2010,(04):204.
[9]彭明栋,陈永生,陈云峰,等.经尿道双极等离子体电切治疗高危前列腺增生症:附200例报告[J].中华腔镜泌尿外科杂志(电子版),2010,(03):211.
 PENG Ming-dong,CHEN Yong-sheng,CHEN Yun-feng,et al.Bipolar plasma kinetic resection of the prostate for the treatment of benign prostatic hyperplasia in the patients with high risk: a report of 200 cases[J].,2010,(04):211.
[10]程书栋,王慕华,王建文,等.经尿道双极等离子前列腺腔内剜除术治疗前列腺增生220例临床疗效分析[J].中华腔镜泌尿外科杂志(电子版),2010,(05):380.
 CHEN Shu-dong,WANG Mu-hua,WANG Jian-wen,et al.Bipolar plasmakinetic transurethral enucleation of prostate in the treatment of benign prostatic hyperplasia: Report of 220 cases[J].,2010,(04):380.
[11]关刚强,谢小平,何燊,等.经尿道前列腺电切术与经尿道前列腺剜除加腹部小切口术治疗大体积前列腺增生的疗效比较[J].中华腔镜泌尿外科杂志(电子版),2012,(02):28.
 GUAN Gang-qiang,XIE Xiao-ping,HE Shen,et al.Transurethral resection of the prostate versus transurethral enucleation of the prostate with abdominal incision for the large volume of benign prostate hyperplasia (BPH): A comparative study[J].,2012,(04):28.
[12]游猛 吴杰英 陈岳 郑彬 詹河涓 狄金明.耻骨上前列腺切除与经尿道前列腺电切治疗大体积前列腺增生的比较[J].中华腔镜泌尿外科杂志(电子版),2015,(03):203.[doi:10.3877/cma.j.issn.1674-3253.2015.03.011 ]
 You Meng,Wu Jieying,Chen Yue,et al.Comparison of efficacy and safety of transvesical prostatectomy and transurethral resection of the prostate for large hypelplasia of prostate[J].,2015,(04):203.[doi:10.3877/cma.j.issn.1674-3253.2015.03.011 ]
[13]李贺洋 孟凡学 阎文新 冯刚.经尿道前列腺电切术与开放手术治疗大体积前列腺增生的比较[J].中华腔镜泌尿外科杂志(电子版),2014,(06):406.[doi:10.3877/cma.j.issn.1674-3253.2014.06.004 ]
 Li Heyang*,Meng Fanxue,Yan Wenxin,et al.A comparative study of transurethral resection of prostate and open prostatectomy for treatment of large hyperplsia of prostate[J].,2014,(04):406.[doi:10.3877/cma.j.issn.1674-3253.2014.06.004 ]
[14]游猛,郑彬,陈岳,等.基层医院耻骨上经膀胱和经尿道切除大体积前列腺的比较[J].中华腔镜泌尿外科杂志(电子版),2018,12(02):94.[doi:10.3877/cma.j.issn.1674-3253.2018.02.007 ]
 You Meng,Zheng Bin,Chen Yue,et al.The comparison of efficacy of open and transurethral prostatectomy for treating big volume prostate in primary hospital[J].,2018,12(04):94.[doi:10.3877/cma.j.issn.1674-3253.2018.02.007 ]

备注/Memo

备注/Memo:
通讯作者:庞俊,Email:pangjun530@sina.com
更新日期/Last Update: 1900-01-01