【作者】 艾克拜尔·吾曼尔；

【导师】 汪清；

【作者基本信息】 新疆医科大学 ， 外科学， 2007， 硕士

【摘要】 目的:比较良性前列腺增生(BPH)的三种经尿道手术治疗效果。方法:分别采用经尿道前列腺电切术(TURP)、经尿道双极等离子前列腺切除术(PKRP)和经尿道铥激光前列腺切除术(TmLRP)治疗良性前列腺增生共137例。结果:三种术式患者手术前后前列腺症状评分(IPSS)、生活质量评分(QOLS)、残余尿(RUV)、最大尿流率(Qmax)比较均得到显著改善(P＜0.001),疗效满意,三组之间相比差异无显著性意义(P＞0.05)。前列腺重量(PW)＜40g时,TmLRP组手术时间明显短于PKRP和TURP组(P＜0.01),PKRP和TURP组之间相比无显著性意义(P＞0.05)。当40g＜PW＜50g时,三组手术时间相比无显著性意义(P＞0.05)。PW＞50g时TmLRP组手术时间明显长于PKRP和TURP组(P＜0.01),PKRP和TURP组之间相比无显著性意义(P＞0.05)。TmLRP组术中出血少于其它两组。术后膀胱冲洗时间、留管时间及住院时间等指标进行比较,结果分别为TmLRP组短于PKRP组,PKRP组短于TURP组(P＜0.01)。结论:三种经尿道手术方法都是治疗BPH的安全有效手段,TmLRP和PKRP比TURP更安全,术中及术后并发症更少。更多还原

【Abstract】 Objectives:To compare clinical results of three therapies for benign prostatic hyperplasia(BPH).Methods:137 cases of BPH were treated with TURP,PKRP and TmLRP.Results:The general results were satisfactory.The IPSS,QOLS,RUV and Qmax had improved significantly(P＜0.001)in the postoperative period without any differences in either group(P＞0.05).When the prostate weight(PW)＜40g,The average period of operation time in TmLRP group were shorter than that in TURP and PKRP group(P＜0.01),and there was no significant difference between TURP and PKRP groups(P＞0.05).When the 40g＜PW＜50g,there was no significant difference among the three groups.When the PW＞50g,The average period of operation time in TmLRP group were longer than that in TURP and PKRP group(P＜0.01),and there was no significant difference between TURP and PKRP groups(P＞0.05).The average amount of bleeding were less in TmLRP group than in TURP and PKRP group;The mean catheterization and irrigation and hospital stay time in TmLRP were shorter than that in PKRP group and in PKRP were shorter than that in TURP group respectively(P＜0.01). Conclusions:Our results showed that the three therapies of the prostate were all safe and effective for transurethral resection of BPH with less intraoperative and postoperative complications,especially TmLRP and PKRP.更多还原