经尿道前列腺剜除术治疗前列腺增生伴膀胱逼尿肌收缩无力患者的临床研究

Abstract
Figure/Table
References (22)
Related Citation (1)

Download: PDF (0 KB) HTML (37 KB)
Export: BibTeX | EndNote (RIS)

Abstract ObjectiveTo analyze the clinical effect of transurethral evaporation of prostate (TUEP)in the treatment of benign prostatic hyperplasia (BPH)accompanies weak contractility of the bladder detrusor.Methods110 patients with BPH accompanies weak contractility of the bladder detrusor in our hospital from January 2014 to December 2015 were selected and randomly divided into the observation group and the control group,with 55 cases in each group.The observation group was treated with TUEP,and the control group was treated with transurethral resection of prostate(TURP).The time of the operation,bladder douche,catheter indwelling and intraoperative blood loss,weight of resected tissue of prostate of the two groups were recorded.The changes of the international packet switched service score(IPSS),maximum urine flow rates(Qmax)and post-void residual volumes(PVR)before and after surgery of the two groups were compared.The incidence of complications were recorded of the two groups intraoperative and during 3 months after postoperative.ResultsThe operation time,bladder douche time and catheter indwelling time in the observation group were significantly shorter than those in the control group,with significant difference(P＜0.05).The intraoperative blood loss in the observation group was significantly shorter than that in the control group,the weight of resected tissue of prostate in the observation group was significantly higher than that in the control group,with significant difference(P＜0.05).The postoperative IPSS and PVR in the two groups were significantly lower than those before the operation,and the Qmaxin the two groups was higher than that before the operation,with significant difference (P＜0.05).There was no significant differences in the IPSS,Qmaxand PVR after operation between the two groups(P＞0.05).The incidence rate of the total complications after the operation in the observation group was significantly lower than that in the control group,with significant difference (P＜0.05).ConclusionThe time of the operation,bladder douche,catheter indwelling of TUEP are shorter than that of TURP,and the blood loss in the operation is less,in addition,the prostatic hyperplasia is resected more thoroughly,which can effectively improve the function of bladder detrusor of patients.TUEP has obvious advantages of fewer complications,lower surgical risk and higher security.

Key words： Transurethral evaporation of prostate Transurethral evaporation of prostate Benign prostatic hyperplasia Weak contractility of the detrusor

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	TIAN Sheng-ping
	WANG Chong-shan
	YANG Wei-zhong
	ZENG Fan-fei

Cite this article:

TIAN Sheng-ping,WANG Chong-shan,YANG Wei-zhong, et al. Clinical research of transurethral evaporation of prostate in the treatment of benign prostatic hyperplasia accompanies weak contractility of the bladder detrusor[J]. 中国当代医药, 2018, 25(6): 8-11.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I6/8

[1]	任宝明.前列腺增生发生急性尿潴留的危险因素分析与评估[J].陕西医学杂志，2015，23（9）：1173-1174.
[2]	朱涛，佘贤梁，方登攀，等.良性前列腺增生伴逼尿肌收缩无力的手术疗效分析及预判参数研究[J].中国男科学杂志，2015，29（1）：14-17.
[3]	镇樱树.经尿道前列腺等离子电切术与钬激光剜除术治疗 BPH 的创伤程度比较[J].海南医学院学报，2016，22（14）：1553-1556.
[4]	李海皓，丁明霞，王剑松，等.经尿道前列腺钬激光剜除术治疗BPH220例疗效观察[J].临床泌尿外科杂志，2015，22（9）：772-775.
[5]	Yim PWC，Wenru W，Ying J，et al.Health-related quality of life，psychological well-being，and sexual function in patients with benign prostatic hyperplasia after prostatic surgery[J].Appl Nurs Res，2015，28（4）：274-278.
[6]	王鹏桥，郑人源.膀胱造瘘与留置尿管保守治疗前列腺增生尿潴留的对比研究[J].成都医学院学报，2015，10（3）：307-309.
[6]	吴伟力，沈华，廖凯，等.良性前列腺增生患者残余尿量与膀胱出口梗阻和逼尿肌收缩力的相关性研究[J].中华男科学杂志，2015，21（8）：729-732.
[7]	Petros PEP.Detrusor instability and low compliance may represent different levels of disturbance in peripheral feedback control of the micturition reflex[J].Neurourol Urodyn，2015，18（2）：81-91.
[8]	王永权，熊智勇，龚薇，等.尿道外口皮下注射透明质酸建立大鼠膀胱出口梗阻模型及效果评价[J].现代泌尿外科杂志，2015，20（1）：48-51.
[9]	刘小波，李萍.改良经尿道前列腺等离子剜除术治疗前列腺增生症 87 例分析[J].临床外科杂志，2015，14（2）：156-157.
[10]	王建文，张志宏，徐勇，等.TURP、TUEP治疗良性前列腺增生的临床效果比较[J].山东医药，2016，56（4）：51-53.
[11]	陈伟军，王荣，史文华.微创等离子前列腺电切术治疗高危前列腺增生患者对IPSS及预后PVR的影响[J].微创泌尿外科杂志，2016，5（3）：163-166.
[12]	刘春晓，徐啊白，邹勇.经尿道前列腺解剖性剜除术（附光盘）[J].现代泌尿外科杂志，2014，19（8）：495-498.
[13]	刘俊峰，谭朝晖，李星智，等.经尿道双极等离子前列腺剜除术治疗80ml以上前列腺增生的疗效分析[J].重庆医学，2015，13（6）：795-797.
[14]	Yamasaki T，Naganuma T，Iguchi T，et al.Association between chronic kidney disease and small residual urine volumes in patients with benign prostatic hyperplasia[J].Nephrology（Carlton），2015，16（3）：335-339.
[15]	张继伟，夏溟.小体积良性前列腺增生引起膀胱出口梗阻的手术治疗[J].中华男科学杂志，2016，22（4）：339-342.
[16]	张玉辉，夏似龙，倪少滨.经尿道2 μm激光前列腺剜除术及前列腺电切术治疗大体积良性前列腺增生的疗效比较[J].现代泌尿外科杂志，2015，20（4）：244-247.
[17]	罗宽，唐正严，李东杰，等.经尿道前列腺剜除术与电切术治疗高危前列腺增生症的安全性和有效性研究[J].中国现代医学杂志，2015，25（26）：68-71.
[18]	Panovska Petrusheva A，Kuzmanovska B，Mojsova M，et al.Evaluation of changes in serum concentration of sodium in atransurethralresectionoftheprostate[J].Pril（MakedonAkad Nauk Umet Odd Med Nauki），2015，36（1）：117-127.
[19]	奚晶，郭训伟，钟赟，等.经尿道等离子前列腺电切术和剜除术治疗前列腺增生的临床效果比较[J].中国当代医药，2017，24（16）：67-69.
[20]	陈进渠，黄淼文，陈水云，等.经尿道钬激光前列腺剜除术与经尿道前列腺电切术治疗前列腺增生的Meta分析[J].中国现代医生，2017，55（8）：15-20.
[21]	魏乔红，李涛，陈广瑜，等.经尿道前列腺分叶剜除术与电切术治疗大体积前列腺增生症的比较研究[J].微创泌尿外科杂志，2016，5（5）：271-274.
[22]	姚宏涛，孔令强，徐军，等.膀胱逼尿肌压力与良性前列腺增生患者TURP术后排尿情况相关性分析[J].中国性科学，2017，26（8）：11-13.