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目的比较经尿道前列腺剜除术(TUEP)与经尿道前列腺电切术(TURP)的疗效。方法 2010年11月-2011年3月,收治前列腺增生(BPH)患者58例,分别采用TUEP(30例)、TURP(28例)治疗。患者年龄55～87岁,平均73岁;病程1～12年,平均5年。术前常规行直肠指检前列腺光滑无结节;经直肠前列腺彩色超声多普勒检查,测得前列腺体积为50～80 mL,平均62 mL;血清前列腺特异性抗原<10 ng/mL。结果 TUEP组术中出血量、术后冲洗时间均短于TURP,切除前列腺组织体积大于TURP组,差异均有统计学意义(P<0.05)。术后拔除尿管后发生暂时性尿失禁TUEP组1例,TURP组发生2例,两组比较差异无统计学意义;两组均无永久性尿失禁发生。结论 TUEP与TURP相比较,TUEP手术疗效好,出血少、恢复快,且并发症少。
Objective To compare the efficacy of transurethral resection of the prostate (TUEP) and transurethral resection of the prostate (TURP). Methods From November 2010 to March 2011, 58 patients with benign prostatic hyperplasia (BPH) were treated with TUEP (30 cases) and TURP (28 cases). Patients aged 55 to 87 years, mean 73 years; duration of 1 to 12 years, an average of 5 years. Preoperative routine digital rectal examination of the prostate smooth and nodular; by color Doppler ultrasound examination of the prostate, measured prostate volume of 50 ~ 80 mL, an average of 62 mL; serum prostate-specific antigen <10 ng / mL. Results The blood loss, the time of postoperative irrigation in TUEP group were shorter than that of TURP group, and the volume of resected prostate tissue was larger than TURP group (P <0.05). One case of transient urinary incontinence TUEP after removal of the catheter and two cases of TURP had no significant difference between the two groups. There was no permanent urinary incontinence in both groups. Conclusion TUEP compared with TURP, TUEP surgery, less bleeding, rapid recovery, and fewer complications.