本文關(guān)鍵詞： 前列腺增生癥 大體積 整體剜除 手術(shù)刨削器　出處：《中國內(nèi)鏡雜志》2016年11期 　論文類型：期刊論文

【摘要】：目的探討經(jīng)尿道剜除聯(lián)合手術(shù)刨削器治療大體積(80 ml)前列腺增生癥(BPH)的臨床效果。方法回顧性分析2014年2月-2016年2月65例大體積BPH,按手術(shù)方法分為兩組,剜除組和電切組,剜除組30例,采用經(jīng)尿道腔內(nèi)整體剜除前列腺,完整剜除后推入膀胱,更換手術(shù)刨削器,將剜除的腺體粉碎取出;電切組35例,采用常規(guī)經(jīng)尿道前列腺等離子電切術(shù)(TURP)。結(jié)果 65例均順利完成手術(shù)。剜除組手術(shù)時(shí)間較TURP組短[(48.5±17.3)vs(75.6±21.4)min,t=5.55,P=0.000],術(shù)中出血量較TURP組少[(51.8±14.6)vs(102.3±32.4)ml,t=7.87,P=0.000]。腺體切除體積較TURP組多[(78.3±15.5)vs(61.8±12.9)ml,t=4.69,P=0.000]。兩組術(shù)后膀胱沖洗時(shí)間和術(shù)后住院天數(shù)相比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。剜除組術(shù)后暫時(shí)性尿失禁比例高于電切組(8/30 vs 4/35)。兩組術(shù)后3個(gè)月國際前列腺癥狀評(píng)分(IPSS)、最大尿流率(Qmax)和殘余尿均較術(shù)前明顯改善(P0.05),但兩組間差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論經(jīng)尿道腔內(nèi)整體剜除聯(lián)合手術(shù)刨削器治療大體積BPH,手術(shù)時(shí)間更短,術(shù)中出血量少,切除腺體更徹底。
[Abstract]:Objective to investigate the clinical effect of transurethral enucleation combined with surgical planer in the treatment of massive prostatic hyperplasia (BPH). Methods 65 cases of BPH from February 2014 to February 2016 were retrospectively analyzed and divided into two groups according to the operative methods: gouging out group and electric resection group. 30 cases in the gouging group were treated with transurethral total enucleation of prostate, and after complete enucleation, the bladder was pushed into the bladder, the surgical planer was replaced, and the gouged glands were crushed and removed, while in the electroresection group, 35 cases were treated with transurethral resection. Routine transurethral resection of the prostate was performed by transurethral plasma resection of the prostate (TURP). Results 65 cases were successfully performed. The operation time in the gouge removal group was shorter than that in the TURP group [48.5 鹵17.3v / s 75.6 鹵21.4min vs 5.5min P 0.000], and the intraoperative bleeding volume was less than that in the TURP group [51.8 鹵14.6vs102.3 鹵32.4ml / 7.87p 0.000]. The volume of glandectomy was much longer than that in the TURP group [78.3 鹵15.5vs 61.8 鹵12.9ml / t 4.69P0. 000]. After operation, the volume of glandectomy in the two groups was higher than that in the TURP group (78.3 鹵15.5vs 61.8 鹵12.9ml / min P0.000). The washing time was compared with the days of hospitalization after operation. The proportion of temporary urinary incontinence in the gouge removal group was higher than that in the electroresection group (8 / 30 vs 4 / 35). The international prostatic symptom score (IPSS) and the maximal urinary flow rate (Qmaxmax) and residual urine in the two groups were significantly improved 3 months after operation compared with those before operation (P 0.05), but there was no significant difference between the two groups. Conclusion the total enucleation of transurethral cavity combined with surgical planer in the treatment of large volume of BPH is much shorter. Less intraoperative bleeding and more complete removal of glands.
【作者單位】： 新疆軍區(qū)烏魯木齊總醫(yī)院泌尿外科;
【分類號(hào)】：R699.8

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本文編號(hào)：1500425