网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
TUPKP对良性前列腺增生切除术中出血量、持续膀胱冲洗时间、尿管留置时间的影响
作者:邹火生  黄裕清  余自强 
单位:梅州市人民医院 泌尿外科, 广东 梅州 514000
关键词:经尿道前列腺等离子切除术 前列腺增生 并发症 持续膀胱冲洗 
分类号:R697.3
出版年·卷·期(页码):2017·36·第四期(479-482)
摘要:

目的:探讨经尿道前列腺等离子切除术(TUPKP)对前列腺增生的治疗效果及术中出血量、持续膀胱冲洗时间、尿管留置时间的影响。方法:回顾性分析2006年3月至2016年1月在我院接受治疗的前列腺增生患者的临床资料,根据其治疗方式分为TUPKP组和经尿道前列腺电切术(TURP)组。观察两组患者手术一般情况,比较两组患者手术前后实验室指标、并发症发生率和术后恢复情况的差异。结果:TUPKP组患者手术时间、术后持续膀胱冲洗时间和术后导尿管留置时间较TURP组短,术中出血量较TURP组少,前列腺切除质量较TURP组大,差异具有统计学意义(P<0.05);两组患者电切综合征、尿道狭窄和继发性出血发生率差异无统计学意义(P>0.05);两组患者术后1、3和6个月时的前列腺症状评分(IPSS)、生活质量(QOL)和最大尿流率(Qmax)差异无统计学意义(P>0.05)。结论:TUPKP对前列腺增生有较好的治疗效果,可明显降低患者术中出血量,缩短持续膀胱冲洗和尿管留置时间,具有临床推广应用价值。

Objective: To investigate the therapeutic effect of transurethral plasmakinetic resection of prostate (TUPKP) on benign prostatic hyperplasia and the effect of intraoperative blood loss, duration of bladder irrigation and indwelling time of catheter. Methods: Retrospective analysis was used to analyze the clinical data of patients with benign prostatic hyperplasia treated in our hospital from March 2006 to January 2016. According to the treatment, they were divided into TUPKP and transurethral resection (TURP) group. Observed the general surgery of the two groups, compared the laboratory indicators, complications and postoperative recovery of the patients in the two groupsbefore and after surgery.Results: The operative time, postoperative bladder irrigation time and operation after indwelling catheter time of TUPKP group were shorter than TURP group, the intraoperative bleeding was less than TURP group, but resection of the prostate quality was more than TURP group (P<0.05); The incidence of transurethral resection syndrome, urethral stricture and secondary bleeding of the two groups had no significant difference(P>0.05); The Qmax, QOL and IPSS scores of the two groups at 1, 3 and 6 months after surgery had no significant difference (P>0.05).Conclusion: TUPKP has good therapeutic effect on benign prostatic hyperplasia, which can reduce the amount of bleeding, shorten the time of bladder irrigation and indwelling catheter, and has the value of clinical application.

参考文献:

[1] GAO Y A,HUANG Y,ZHANG R,et al.Benign prostatic hyperplasia:prostatic arterial embolization versus transurethral resection of the prostate-a prospective,randomized,and controlled clinical trial[J].Radiology,2014,270(3):920-928.
[2] BILHIM T,BAGLA S,SAPOVAL M,et al.Prostatic arterial embolization versus transurethral resection of the prostate for benign prostatic hyperplasia[J].Radiology,2015,276(1):310-311.
[3] 杜依青,米白冰,王珏,等.经尿道等离子双极电切术与传统单极电切术治疗前列腺增生症比较的Meta分析[J].现代泌尿外科杂志,2014,19(7):456-461.
[4] TANG K,XU Z,XIA D,et al.Early outcomes of thulium laser versus transurethral resection of the prostate for managing benign prostatic hyperplasia:a systematic review and meta-analysis of comparative studies[J].J Endourol,2014,28(1):65-72.
[5] ELHILALI M M.Management of BPH,larger than 100 ml:simple prostatectomy,versus laser transurethral surgery[J].World J Urol,2015,33(6):902-903.
[6] 钟秀宏,陈钱,张春阳,等.雌激素及雌激素受体与良性前列腺增生症[J].中国男科学杂志,2015,29(8):62-65.
[7] 甘露,曾静,黄桂晓,等.经尿道前列腺等离子双极电切术与耻骨上经膀胱前列腺切除术治疗良性前列腺增生的疗效和安全性比较[J].医学综述,2014,20(5):959-960.
[8] 黄明坦,叶泽兵,刘百川,等.经尿道前列腺等离子双极电切治疗高危良性前列腺增生症的临床疗效观察[J].海南医学,2014,25(4):498-500.
[9] 关喜彬,武良,舒则荣,等.经尿道前列腺等离子双极电切术安全性与有效性的系统评价[J].浙江创伤外科,2015,20(4):641-644.
[10] LUSUARDI L,HRUBY S,JANETSCHEK G,et al.Laparoscopic adenomectomy versus Eraser laser enucleation of the prostate[J].World J Urol,2015,33(5):691-696.
[11] 熊文清,万建,付明.经尿道前列腺等离子双极电切术治疗大体积良性前列腺增生症疗效观察[J].临床外科杂志,2015,23(10):789-791.
[12] 徐磊,张国庆,车宪平.经尿道前列腺切除术前列腺电切综合征的防治探讨[J].检验医学与临床,2014,11(15):2153-2154.
[13] 孙炜.经尿道前列腺切除术并发症的原因及防治分析[J].中外医学研究,2016,14(8):120-121.
[14] ZANG Y C,DENG X X,YANG D R,et al.Photoselective vaporization of the prostate with GreenLight 120-W laser versus transurethral resection of the prostate for benign prostatic hyperplasia:a systematic review with meta-analysis of randomized controlled trials[J].LIMS,2015,31(2):1-6.
[15] 罗彬,李正明,李刚,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效果比较[J].中国医药导报,2014,11(20):28-30.

服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 753436 位访问者


 ©《现代医学》编辑部
联系电话:025-83272481;83272479
电子邮件: xdyx@pub.seu.edu.cn

苏ICP备09058541