中华灾害救援医学2016，Vol.4Issue(3)：145-148,4.DOI:10.13919/j.issn.2095-6274.2016.03.007
经尿道前列腺电切术与剜除术治疗良性前列腺增生的临床疗效观察
Observation on the clinical therapeutic effect of transurethral enucleative resection of prostate and transurethral resection of prostate applied in patients with benign prostatic hyperplasia
管德辉 1刘学宁 2曾宪辉 1蒋东鹏 1陈阳 1张磊 1韩建军1
作者信息
- 1. 150076 哈尔滨，武警黑龙江总队医院 泌尿外科
- 2. 150076 哈尔滨，武警黑龙江总队医院 疾病预防科
- 折叠
摘要
Abstract
Objective To compare clinical effect of transurethral enucleative resection of prostate (TUERP) with transurethral resection of prostate (TURP) in treating patients with benign prostatic hyperplasia (BPH), its clinical data were retrospectively analyzed. Methods 93 patients treated with TURP (TURP group) and 86 patients treated with TUERP (TUERP group) were included. Then each group were divided into two groups (≥60 g group and <60 g group) based on mass of prostate. Operation time, blood loss volume,weight of resected prostate and complications were compared among groups.Results All operations were successfully completed;surgical complications of patients applied different operation method were compared, and there was no statistically significant difference. For patients with prostate larger than 60 g, compared with TUERP group, blood loss volume was larger (t=10.468,P<0.001) and weight of resected prostate was smaller (t=4.936, P<0.001) in TURP group, and the differences were statistically significant; but there was no significant difference in operation time between two groups (t=1.653,P=0.066). For patients with prostate smaller than 60 g,there was no significant difference in operation time,blood loss and weight of resected prostate between the two groups.Conclusions Compared with TURP,TUERP has advantages of less blood loss and higher resected prostate weight in the treatment of patients with BPH larger than 60 g. With improvement of surgeon experience and development of operation techniques,TURP could be replaced by TUERP. For patients with prostate smaller than 60 g, TRUP and TUERP have no obvious difference, operation modality should be chosen by surgeon based on his experience and condition of patients.关键词
良性前列腺增生/经尿道前列腺电切术/经尿道前列腺剜除术Key words
benign prostatic hyperplasia/transurethral enucleative resection of prostate/transurethral resection of the prostate分类
医药卫生引用本文复制引用
管德辉,刘学宁,曾宪辉,蒋东鹏,陈阳,张磊,韩建军..经尿道前列腺电切术与剜除术治疗良性前列腺增生的临床疗效观察[J].中华灾害救援医学,2016,4(3):145-148,4.
