经尿道前列腺剜除术与电切术的比较

温天奋;何志新;黄宗谋;何自浪;彭晓东

【期刊名称】《中国当代医药》

【年(卷),期】2009(016)015

【摘要】目的:探讨经尿道前列腺剜除术与电切术的疗效比较.方法:将前列腺增生(BPH)患者60例随机分为两组,分别行经尿道前列腺剜除术(transurethral enucleation of the prostate TUEP)(n=30)和经尿道前列腺电切术(transurethralresection of the prostate,TURP)(n=30),监测、记录两组患者术前、术中及术后的相关临床指标,并进行比较.结果:两组术中冲洗液吸收量、出血量、手术时间、出现术后低血钠、导尿管留置时间、术后住院天数,组间比较差异有统计学意义(P<0.05).TUEP组术中需输血2例,占6.7%(2/30);TURP 组术中需输血7例,占23.3%(7/30).TURP组有17例出现术后低血钠,占56.7%(17/30);TUEP组无低血钠症发生.术后3个月,两组患者获随访,其最大尿流率(Qnax)、剩余尿量(PVR)、国际前列腺症状评分(IPSS),生活质量评分(QOL)较术前均有改善,差异有统计学意义(P<0.01),组间比较差异无统计学意义(P>0.05).结论:TUEP术与TURP术相比较,TUEP手术安全性更好,出血少、时间快、并发症少,值得进一步推广应用.%Objectives.To probe into the effect of transurethral enucleation of the prostate compared with the transure th ral resection of the prostate.Methods:Getting the benign prostatic hyperplasia (BPH) 60 patients were randomly divided into two groups, respectively, via transurethral enucleation of prostate (TUEP) (n=30) and transurethral resection of prostate (TURP) (n=30), monitoring to record