Fu Hou-Sheng, Wang Fei, Wang An-Fang, Kang Xin-Li
Department of Urology, People's Hospital of Hainan Province, Hainan Affiliated Hospital of Hainan Medical University Haikou，Haikou, Hainan 570311, China.
Zhonghua Nan Ke Xue. 2020 Sep;26(9):798-802.
To investigate the clinical effect of transurethral enucleation and resection of the prostate (TUERP) versus that of transurethral resection of the prostate (TURP) in the treatment of high-risk BPH.
From June 2018 to December 2018, a total of 60 patients with high-risk BPH were randomly assigned to receive TUERP (n = 30) or TURP (n = 30). Comparisons were made between the two groups of patients in the operation time, intraoperative blood loss, volume of the resected prostate, and postoperative complications.
Compared with the patients treated by TURP, those in the TUERP group showed a significantly shorter operation time(［76.2±15.9］ min vs ［47.5±16.1］ min, P < 0.05), less intraoperative blood loss(［93.7±33.6 vs ［60.5±25.4］ ml］ ml, P < 0.05), but a larger volume of the resected prostate(［30.6±8.5］ g vs ［42.3±12.2］ g, P < 0.05)， and a less incidence of postoperative complications, such as secondary bleeding, uracratia and urethrostenosis.
Both TUERP and TURP are clinically effective for the treatment of high-risk BPH, but TUERP is even better than TURP for its advantages of shorter operation time, less intraoperative blood loss, larger volume of resected prostate, fewer postoperative complications, and less surgical trauma.
探讨经尿道前列腺剜除术（TUERP）与经尿道前列腺电切术（TURP）治疗高危良性前列腺增生（BPH）的临床效果。
2018年6月至2018年12月，将60例高危BPH患者随机分为两组，分别接受TUERP（n = 30）或TURP（n = 30）治疗。比较两组患者的手术时间、术中出血量、切除前列腺体积及术后并发症。
与接受TURP治疗的患者相比，TUERP组患者手术时间明显缩短（［76.2±15.9］分钟对［47.5±16.1］分钟，P < 0.05），术中出血量更少（［93.7±33.6］毫升对［60.5±25.4］毫升，P < 0.05），但切除前列腺体积更大（［30.6±8.5］克对［42.3±12.2］克，P < 0.05），术后并发症（如继发性出血、尿失禁和尿道狭窄）发生率更低。
TUERP和TURP治疗高危BPH均具有临床疗效，但TUERP手术时间更短、术中出血量更少、切除前列腺体积更大、术后并发症更少、手术创伤更小，效果优于TURP。
