【摘要】 目的 探讨经尿道前列腺电切术治疗良性前列腺增生症患者中不同前列腺总体积(TPV)及移行带体积(TZV)的疗效差异。方法 纳入江门市新会区人民医院2018年1月-2020年10月的BPH患者共120例，依据不同TPV和TZV分为三组，纳入的120例患者依据TPV分为三组，A组TPV<40mL，共37例、B组TPV 40mL～79mL，共45例、C组TPV≥80mL，共38例。依据TZV分为三组，D组TZV<20mL，共39例、E组TZV 20mL～59mL，共37例、F组TZV≥60mL，共44例。患者均采用经尿道前列腺电切术治疗，观察患者的年龄、TPV、TZV，统计患者的国际前列腺症状评分(IPSS)，并统计排尿期和储尿期IPSS评分(IPSS-V和IPSS-S)，统计患者的最大尿流率(Qmax)和生活质量评分(SLQQ-QOL)。结果 三组患者术前及术后IPSS、IPSS-V、IPSS-S、Qmax、SLQQ-QOL对比无统计学意义(P>0.05)，而术后IPSS、IPSS-V、IPSS-S较术前降低，Qmax、SLQQ-QOL较术前升高(P<0.05)，三组年龄A组最小，C组患者年龄最大(P<0.05)。三组患者术前IPSS、IPSS-V、IPSS-S、Qmax、SLQQ-QOL对比无统计学意义(P>0.05)，而术后IPSS、IPSS-V、IPSS-S较术前降低，Qmax、SLQQ-QOL较术前升高(P<0.05)，三组年龄：D组<E组<F组(P<0.05)，三组术后IPSS、IPSS-V、IPSS-S：F组<E组<D组(P<0.05)，三组术后Qmax、SLQQ-QOL：D组<E组<F组(P<0.05)。结论 经尿道前列腺电切术治疗BPH患者均有较高的疗效，不同TPV和TZV患者间的年龄存在差异，TZV越大则疗效越高。更多还原

【Abstract】 Objective To investigate the difference in curative effect of different total prostate volume (TPV) and transition zone volume (TZV) in patients with benign prostatic hyperplasia treated by transurethral resection of the prostate.Methods In our hospital,120 patients were included in the BPH patients from January 2018 to October 2020.According to different TPV and TZV,the inclusive 120 patients were divided into three groups in TPV,and there were 37 cases in group A with TPV<40mL,45 cases in group B with TPV between 40 mL to 79mL,and 38 cases in group C with TPV≥80mL.According to TZV,it is divided into three groups,there were 39 cases in group D with TZV<20mL,37 cases in group E with TZV between 20mL to 59mL,and 44 cases in group F with TZV≥60mL.Patients were treated with transurethral prostate,to observe the age,TPV,TZV,statistical patients’ international prostate symptoms (IPSS),and statistically invoicing period and reservoir IPSS scores (IPSS-V and IPSS-S),maximum urinary flow rate (QMAX) and life quality score (SLQQ-QL).Results There was no statistically significant significance for preoperative and postoperative IPSS,IPSS-V,IPSS-S,QMAX,SLQQ-QOL,IPSS,IPSS-V,IPSS-S before surgery,QMAX,SLQQ-QOL are higher than before surgery (P<0.05),and the three groups of age A group were minimal,and the age of C group was the largest (P<0.05).There is no statistical significance of the preoperative IPSS,IPSS-V,IPSS-S,QMAX,SLQQQ-QL in three groups,and postoperative IPSS,IPSS-V,IPSS-S are lower than before surgery,QMAX,SLQQ-QOL are more Earth raised (P<0.05),three groups of age:D group <E group <F group (P<0.05),three groups of IPSS,IPSS-V,IPSS-S:F group <E group <D group (P<0.05),three groups of qmax,SLQQ-QOL:D group <E group <F group (P<0.05).Conclusion Transurethral resection of the prostate has higher curative effects in the treatment of BPH patients.There are differences in the age of patients with different TPV and TZV and BPH patients.The larger the TZV,the higher the curative effect.更多还原