[1]李四化,刘聪,林悦悦.经尿道等离子前列腺剜除术与电切术治疗前列腺增生的疗效分析[J].中华腔镜泌尿外科杂志(电子版),2017,11(04):264-267.[doi:10.3877/cma.j.issn.1674-3253.2017.04.012 ]
 Li Sihua,Liu Cong,Lin Yueyue..Comparison of transurethral enucleation and resection of the prostate with bipolar plasmakinetic electrode for benign prostatic hyperplasia in basic-level hospitals[J].,2017,11(04):264-267.[doi:10.3877/cma.j.issn.1674-3253.2017.04.012 ]
点击复制

经尿道等离子前列腺剜除术与电切术治疗前列腺增生的疗效分析()
分享到:

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

卷:
11
期数:
2017年04期
页码:
264-267
栏目:
临床研究
出版日期:
2017-08-31

文章信息/Info

Title:
Comparison of transurethral enucleation and resection of the prostate with bipolar plasmakinetic electrode for benign prostatic hyperplasia in basic-level hospitals
作者:
李四化刘聪林悦悦
516600 广东,汕尾市汕尾逸挥基金医院泌尿外科
Author(s):
Li Sihua Liu Cong Lin Yueyue.
Department of Urology, Yi-Hui Fund Hospital, Shanwei, Guangdong 516600, China
关键词:
前列腺增生 等离子 前列腺切除术基层医院
DOI:
10.3877/cma.j.issn.1674-3253.2017.04.012
摘要:
目的 比较经尿道等离子前列腺剜除术(TUERP)和等离子前列腺电切术(PKRP)治疗前列腺增生患者的临床疗效,为基层医院前列腺增生的手术方式的选择提供参考。方法 选取自2014 年9 月到2016 年9 月期间我院泌尿外科收治的前列腺增生患者68 例,将患者随机分为TUERP 组34 例和PKRP 组34 例。分析两组手术时间、术中出血量、切除组织量、有无包膜穿孔以及术后3 个月的国际前列腺症状评分(IPSS)、生活质量评分(QOL)、残余尿量(PVR)、最大尿流率(Qmax)等指标。结果 与PKRP 相比,TUERP 手术时间更短,出血量更少,包膜穿孔例数少,切除组织量多、术后冲洗时间更短(P<0.05)。此外,TUERP 组无输血病例,PKRP 组有1 例患者由于出血严重而输注2 个单位的红细胞悬液。术后随访3 个月,我们发现两组患者术后3 个月的PVR、Qmax、IPSS、QOL 均较术前有明显改善(P<0.05),术后3 个月两组间PVR、Qmax、IPSS、QOL 差异无统计学意义(P>0.05)。结论 TUERP 近期手术疗效不差于PKRP 术,但与PKRP 术相比,切除组织更完全,出血量少,手术时间更短,值得在基层医院推广应用。远期效果仍有待长期随访的大样本随机对照研究进一步证实。

参考文献/References:

[1] Patel ND,Parsons JK. Epidemiology and etiology of benign prostatic hyperplasia and bladder outlet obstruction[J]. Indian J Urol, 2014;30(2): 170-176.
[2] Ibrahie el HI, el-Tholoth HS, Mohsen T, el al. Penile fractur el:ongterm outcome of immediate surgical intervention[J]. Urology, 2100,75(1): 108-111.
[3] 刘春晓, 郑少波, 等. 实用经尿道手术学[M]. 北京: 人民卫生出版社, 2011: 53.
[4] Kan CF, Tsu HL, Chiu Y, et al. A prospective study comparing bipolar endoscopic enucleation of prostate with bipolar transurethral resection in saline for management of symptomatic benign prostate enlargement larger than 70 g in a matched cohort[J]. Int Urol Nephrol, 2014, 46(3): 511-517.
[5] Zhao Z, Zeng G, Zhong W, et al. A prospective randomised trial comparing plasmakinetic enucleation to standard transurethral resection of the prostate for symptomatic benign prostatic hyperplasia: three-year follow-up results[J]. Eur Urol, 2010, 85(5):752-758.
[6] 敖劲松, 汪波, 邱承俊, 等. 经尿道等离子前列腺剜除术和电切术治疗前列腺增生的临床疗效比较[J/CD]. 中华腔镜泌尿外科杂志: 电子版, 2012, 6(4): 301-303.
[7] 关刚强, 谢小平, 何粲, 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): 28-30.
[8] Luo YH, Shen JH, Guan RY, et al. Plasmakinetic enucteation of the prostate VS plasmakinetic resection of the prostate for beingn prostatic hyperplasia: comparison of outcomes according to prostate size in310 patients[J]. Urology, 2014, 84(4): 904-910.
[9] APG Committee. AUA guideline on management of benign prostatic Hyperplasia (2003)[J]. J Urol, 2003, 170(5): 530-547.
[10] Tang Y, Li J, Pu C, et al. Bipolar transurethral resection verus monopolar transurethral resection for benign prostatic hypertrophy: a systematic review and meta- analysis EJ[J]. J Endourol, 2014,28(9): 1107-1114.
[11] Ou R, Deng X, Yang W, et al. Transurethral enucleation and recsteion of the prostate VS transvesical prostatectomy for prostate volumes >80 ml: a prospective randomized study[J]. BJU Int,2013, 112(2):239-245.
[12] Liu C, Zheng S, Li H, et al. Transurethral enucleation and recsteion of prostate in patients with benign prostatic hyperptasia by plasmakinetics[J]. J Urol, 2010, 184(6): 2440-2445.
[13] Zhang KY, Xing IC, Chen BS, et al. Bipolar plasmakinetic transurethral resection of the prostate VS. transurethral enucelation and resection of the prostate: pre and postoperative comparisons of parameters used in assessing benign prostatic enlargement[J].Singapore Med, 2011, 52(10): 747-751.
[14] Zhao Z, Zeng G, Zhong W, et al. A prospective, randomised trial comparing plasmakinetic enucleation to standard transurethral resection of the prostate for symptomatic benign prostatic hyrppelasia:three-year follow-up results[J]. Eur Uro, l 2010, 58(5): 752-785.
[15] 袁磊, 王志强, 卢洪凯. 经尿道等离子双极膀胱颈部前列腺顺切联合剜除术治疗大体积前列腺增生[J/CD]. 中华腔镜泌尿外科杂志: 电子版, 2013, 7(1): 22- 34.

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]刘泽涛,于莉,张启波,等.经尿道前列腺电切术和等离子电切术治疗前列腺增生的比较[J].中华腔镜泌尿外科杂志(电子版),2017,11(05):322.[doi:10.3877/cma.j.issn.1674-3253.2017.05.008 ]
 Liu Zetao,Yu Li,Zhang Qibo,et al.Comparison of efficacy and safety of transurethral plasmakinetic resection of prostate and transurethral resection of prostate for the treatment of benign prostatic hyperplasia[J].,2017,11(04):322.[doi:10.3877/cma.j.issn.1674-3253.2017.05.008 ]
[12]韩广玮,申雪晴,吴涵潇,等.前列腺增生并轻度尿道狭窄行去外鞘半导体激光汽化剜除与等离子电切的比较[J].中华腔镜泌尿外科杂志(电子版),2023,17(05):490.[doi:10.3877/cma.j.issn.1674-3253.2023.05.013]
 [J].,2023,17(04):490.[doi:10.3877/cma.j.issn.1674-3253.2023.05.013]

备注/Memo

备注/Memo:
基金项目:汕尾市科技计划项目(2014C010)
通讯作者:李四化,Email:2822018@qq.com
更新日期/Last Update: 2017-08-25