经尿道前列腺电切术10年变迁.pdfVIP

298 J Mod Urol , Vo l. 21 No.4 Apr. 2016 ·临床研究· 经尿道前列腺电切术 10 年变迁 王焕瑞，许克新，胡 浩，张晓鹏，王晓峰 (北京大学人民医院泌尿外科，北京 100044) The changing practice of transurethral resection of the prostate in recent 10 years WANG Huan-rui , XU Ke-xin , HU Hao , ZHANG Xiao-peng , WANG Xiao-feng (Department of Urology , Peoples Hospital of Peking University , Beijing 100044 , China) ABSTRACT:Objective To investigate the changes in transurethral resection of prostate (TURP) in the past 10 years. Methods A retrospective analysis was conducted in 303 patients who underwent TURP in the year 2004 , 2009 and 2013. Re- sults There was no significant difference among the three years in patients age , preoperative PSA , IPSS and QOL (P 0.05). In 2004 , the mean prostate volume of patients undergoing TURP was 61. 48 mL (ranged 19.09-174.68 mL). which increased to 69.01 mL by 2009 (ranged 17.42-222.94 m L), and to 77.25 mL by 2013 (ranged 12.63 - 292.49 mL). There was a statistically significant increase (P0.05). Meanwhile , a significant decrease was found in the Qmax (P0.05). Over the 10-year study period , the number of patients with bladder stone combined with BPH requiring TURP increased from 6. 3 % to 15.0% (P0.05). The mean ‘ in-theatre time in 2004 was (70.07 士28. 61)min , rising to (93.70 士42. 18)min in 2013 (P O. 05). However , the mean intra-operative blood loss was significantly reduced. The mean bladder irrigation time and in-dwelling urethral catheter time was decreased (PO. 05). Conclusions The number of TURP performed is in decline. More patients received TURP as a r巳sult of complications arising from prostatic obstruction than that of 10 years ago. The ‘ in-theatre tim巳 is increased , because of the larger size of prostate. But the incidence of postoperative complications is not i