Efficacy of transurethral anatomical enucleation of prostate combined with tissue morcellator in the treatment of moderate and severe benign prostatic hyperplasia
CHEN Bing1, HU ZhenXing1, LIU Cong1
1Department of Urology,the People's Hospital of Sichuan Leshan Central Distrct,Leshan 614000,China
Abstract：Objective： To evaluate the efficacy and safety of tissue morcellator with transurethral anatomical enucleation of the prostate (TUAEP) in the treatment of moderate and severe benign prostatic hyperplasia (BPH). Methods: Sixty-eight BPH patients whose prostates estimated greater than 50 g with surgical indications through preoperative ultrasonic measurement in our hospital, from February 2017 to May 2018, were randomly divided into experimental group and control group. All patients accepted TUAEP. The resected tissues were crushed and sucked out by tissue morcellator after enucleation in the experimental group, and those were sucked out by traditional shredding in the control group. The effective clinical indexes of the two groups were compared and the operative efficacy was evaluated. Results: There was no death, blood transfusion and electric resection syndrome in two groups. In the experimental group, there was one case of mucosal injury in the trigonum vesicae, and in the control group, one case was given reoperation because of postoperative bleeding. The operation time, the speed of prostate removal, the weight of the prostate after operation, the rate of prostate resection, and the decreased value of hemoglobin were compared after the operation, and there were significant differences between two groups (all P<0.05). Conclusions: TUAEP combined with tissue morcellator in the treatment of moderate and severe BPH can shorten the operation time, and reduce intraoperative bleeding and fatigue degree. It has excellent clinical application value because of its safety and efficacy, and deserves to be popularized.
陈冰, 胡振兴, 刘聪. 组织刨削器在经尿道前列腺解剖性剜除术治疗中重度良性前列腺增生症中的效果评价[J]. 微创泌尿外科杂志, 2019, 8(2): 124-127.
CHEN Bing, HU ZhenXing, LIU Cong. Efficacy of transurethral anatomical enucleation of prostate combined with tissue morcellator in the treatment of moderate and severe benign prostatic hyperplasia. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2019, 8(2): 124-127.
[1] 刘春晓. 经尿道前列腺解剖性剜除术的研究进展.微创医学,2015,10(3):263-268. [2] 刘春晓,徐啊白,邹勇等.经尿道前列腺解剖性剜除术(附光盘).现代泌尿外科杂志,2014,19(8):495-498. [3] 雒向宁,杜宏宏,刘凯,等.经尿道“分叶式”剜除联合电切治疗前列腺增生应用观察.陕西医学杂志,2018,6(47):742-744. [4] 李凌,彭泳涵,王则宇,等.“两点一线一面”的手术原则在钬激光前列腺剜除术中的应用研究.临床泌尿外科杂志,2017,32(4):250-254. [5] 杨国胜,陈波特,邱晓佛,等.基于外科包膜间层平面直出激光推铲式汽化切剜术治疗<80g良性前列腺增生1008例报告.中华泌尿外科杂志,2018,39(2):114-119. [6] 方梓宇,芦超越,王琦,等.铥激光“两点一线一面”剜除术治疗良性前列腺增生的研究分析.临床泌尿外科杂志,2018,33(9):697-700. [7] XU A, ZOU Y, LI B, et al.A randomized trial comparing diode laser enucleation of the prostate with plasmakinetic enucleation and resection of the prostate for the treatment of benign prostatic hyperplasia. J Endourol, 2013,27(10):1254-1260. [8] FRAUNDORFER MR, GILLING PJ.Holmium:YAG laser enucleation of the prostate combined with mechanical morcellation: preliminary results. Eur Urol, 1998,33(1):69-72. [9] 徐啊白,罗福,邹志辉,等.刨削器在经尿道双极等离子体前列腺解剖性剜除术中的临床应用.南方医科大学学报,2016,36(8):1100-1104. [10] 栾婷,王海峰,李海皓,等.手术刨削器在 HoLEP 中应用的临床效果.昆明医科大学学报,2017,38(2):49-53. [11] 吴斌,宋永胜,卜仁戈,等.影响前列腺电切组织缩水率的因素探讨.临床泌尿外科杂志,2004,19(2):89-90. [12] 陈冰,徐嘉云,刘聪,等.PKERP与PKRP在治疗中重度BPH时腺体切除率的对比分析.临床泌尿外科杂志,2013,28(6):452-453. [13] HURLE R, VAVASSORI I, PICCINELLI A, et al.Holmium laser enucleation of the prostate combined with mechanical morcellation in 155 patients with benign prostatic hyperplasia. Urology, 2002,60(3):449-453.
