Objective To analyze the value of intravesical prostatic protrusion (IPP) in predicting and evaluating postoperative effect of plasmakinetic resection of the prostate (PKRP) in patients with benign prostatic hyperplasia (BPH).Methods A totoal of 72 patients with BPH in our hospital from May 2016 to November 2018 were selected and divided into significant IPP group (IPP≥5 mm) and non-significant IPP group (IPP<5mm) according to IPP, with 36 cases in each group.All patients underwent PKRP, and the IPP value was measured.International Prostate Symptom Score (IPSS), Prostate specific antigen (PSA), maximum flow rate (Qmax), postvoid residual volume (PVR), and quality of life (QoL) were compared between the two groups.Results Before surgery, there was no statistical difference in the scores of IPSS and QoL between the two groups (P>0.05).After surgery, the scores of IPSS and QoL in the two groups were lower than those before surgery, and the scores in the significant IPP group were lower than the scores in the non-significant IPP group (P<0.05).Before surgery, there was no statistical difference in the levels of Qmax and PVR between the two groups (P>0.05).After surgery, the levels of Qmax were higher and the levels of PVR were lower in the two groups than those before surgery (P<0.05), and there was no statistical difference in the levels of Qmax and PVR between the significant IPP group and the non-significant IPP group (P>0.05).Conclusion IPP can be used as an important index to predict the IPSS and QoL scores in patients with BPH after PKRP.It is easy to operate, repetitive, patient friendly, and non-invasive, thus it is worthy of clinical promotion and application.
WENG Haibing
,
SHEN Yinkui
,
QIAN Shenghua
. Prediction and evaluation of postoperative effect of plasmakinetic resection of the prostate in patients with benign prostatic hyperplasia using intravesical prostatic protrusion[J]. Surgical Research and New Technique, 2019
, 8(3)
: 183
-186
.
DOI: 10.3969/j.issn.2095-378X.2019.03.011
[1] 李仁彪,赵峰,贺彦君,等.前列腺突入膀胱内距离对经尿道柱状水囊前列腺扩开术疗效的影响[J].中国药物与临床, 2017,17(5):636-639.
[2] 王涛,王刚,张建勋,等.微创术式与综合药物保守治疗对老年良性前列腺增生症患者症状及控尿功能的影响[J].中国性科学, 2018,27(10):37-41.
[3] 邓爱华.传统开放手术与微创TUERP手术治疗大体积老年良性前列腺增生比较研究[J].河北医药, 2016,38(8):1195-1197.
[4] 那彦群,叶章群,孙光,等.2011版中国泌尿外科疾病诊断治疗指南手册[M].北京:人民卫生出版社, 2011:426-443.
[5] 辛玉宏,李岱,甘日强,等.前列腺突入膀胱程度与前列腺增生症膀胱出口梗阻的相关性[J].现代泌尿外科杂志, 2015,20(2):105-108.
[6] 彭伟,吴海霞,桂定文,等.评价经尿道前列腺双极等离子电切术与前列腺电切术治疗良性前列腺增生的临床效果及其安全性[J].中国性科学, 2017,26(5):24-27.
[7] 闻斌,唐伟,刘德云,等.良性前列腺增生300例临床诊疗分析[J].检验医学与临床, 2015,12(6):821-822.
[8] 黄涛,虞永江,徐丁,等.术前B超检查参数在预测经尿道前列腺切除术疗效中的价值[J].中华泌尿外科杂志, 2015,36(7):523-527.
[9] 王金万,王海龙.尿流动力学检测在前列腺增生治疗效果评价中的应用研究[J].陕西医学杂志, 2015(8):957-958.
[10] 郭雪涛,李从刚,刘和.良性前列腺增生突入膀胱程度与尿流动力学的临床意义[J].现代泌尿外科杂志, 2015,20(10):712-714.
[11] 李保国,林毅枢,李鑫,等.良性前列腺增生患者前列腺突入膀胱程度与膀胱出口梗阻的相关性研究[J].疑难病杂志, 2018,17(5):490-493.
[12] 朱道宇,赵虎,王仪春,等.前列腺突入膀胱程度对经尿道前列腺电切术手术难度及疗效的影响[J].江苏医药, 2015,41(13):1505-1507.
[13] 张亚群,王劲夫,陈鑫,等.前列腺突入膀胱长度与下尿路症状关系的单中心分析[J].中国医刊, 2018,53(3):297-299.
[14] 韦艳梅.膀胱内前列腺突入预测腹腔镜前列腺癌根治术后早期尿控恢复的临床价值探讨[J].现代医学, 2016(3):357-360.
[15] 乔敏,夏炳兰.前列腺中叶增生患者的超声评价[J].临床超声医学杂志, 2018,20(11):55-57.
