体积>80mL的良性前列腺增生患者经尿道等离子前列腺电切术中应用尖部收切法的可行性与安全性分析

doi:10.3969/j.issn.1006-6233.2024.04.023

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Abstract Objective: To analyze the feasibility and safety of apical inward cut during transurethral plasma kinetic prostatectomy (TUPKP) on patients with benign prostatic hyperplasia (BPH) with volume>80mL. Methods: A total of 196 BPH patients with volume >80 mL and elective surgery in our hospital were selected from October 2019 to October 2022, and were randomly divided into two groups, the study group (n=98, with the application of apical retractive dissection during TUPKP) and the conventional group (n=98, with conventional TUPKP). The operation time, bleeding volume, weight of the resected gland, hospitalization time, forced urethral muscle pressure, initial urinary volume, residual urine volume after voiding, maximum urinary volume, International Prostate Symptom Score, Quality of Life Rating Scale, and complication rate were compared between the two groups. Results: The surgery-related indicators revealed no statistical differences between the two groups (P>0.05). At 3 months after surgery, the detrusor pressure, initial urine volume, residual urine volume after urination and maximum urine volume were improved in both groups compared with those before surgery (P<0.05), but the differences of above indicators between both groups were not statistically significant (P>0.05). The international prostate symptom score grading in study group at 3 months after surgery was better in comparison with conventional group (P<0.05), and the interaction term between time and prostate symptom grading was significant (P<0.05). At 3 months after surgery, the scores of dimensions of quality of life scale were enhanced in both groups compared to before surgery (P<0.05), and the differences of scores of dimensions of quality of life scale were higher in study group compared to conventional group (P<0.05). The total incidence rate of complications in study group at 3 months after surgery was 2.04%, which was lower than 9.18% in conventional group (P<0.05). Conclusion: Apical inward cut during TUPKP can relieve the symptoms and enhance the quality of life in the treatment of patients with BPH with volume>80mL, and it has few complications and is safe and reliable.

Key words： Benign prostatic hyperplasia Transurethral plasma kinetic prostatectomy Volume>80mL Apical inward cut

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2024.04.023 OR http://www.hbyxzzs.cn/EN/Y2024/V30/I4/651

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