探讨膀胱内前列腺突出度（IPP）在基层医院前列腺切除术中的临床应用价值。

回顾性分析广东省龙川县中医院泌尿外科2016年3月至2019年3月收治的105例前列腺增生并行经尿道前列腺等离子电切术（TURP）患者的临床资料，分为IPP<5 mm组及IPP≥5 mm组，比较两组患者术前与术后最大尿流率（Qmax）、残余尿量（RUV）、国际前列腺症状评分（IPSS）指标的差异。

IPP≥5 mm组患者术前平均Qmax较IPP<5 mm组低，差异有统计学意义；IPP≥5 mm组患者术前平均IPSS评分及平均RUV均较IPP<5 mm组高，差异均有统计学意义；两组患者术后3个月的IPSS评分以及RUV、Qmax指标差异均无统计学意义，但是IPP≥5 mm组患者，术后Qmax提升幅度、RUV减少量、IPSS评分下降范围更为明显，差异有统计学意义。

BPH患者的临床症状、RUV与IPP长度呈正相关，Qmax则与IPP长度呈负相关，IPP≥5 mm的BPH患者手术疗效更显著。IPP操作简便且廉价，患者接受程度高，适宜基层医院推广。

To explore the clinical value of intravesical prostatic protrusion (IPP) in primary hospitals.

A total of 105 patients of benign prostatic hyperplasia (BPH) underwent transurethral resection prostate (TURP) in Longchuan County Hospital of Traditional Chinese Medicine from Mar. 2016 to Mar. 2019. The patients were classified into group IPP<5 mm and group IPP≥5 mm, the differences of the maximal urinary flow (Qmax) and residual urine volume (RUV) and index of international prostate symptom score (IPSS) in two groups were analyzed comparatively.

The average Qmax of patients in IPP≥5 mm group was lower than that in IPP<5 mm group, the difference was statistically significant. The average IPSS and average RUV of patients in IPP≥5 mm group were higher than those in IPP <5 mm group, the difference were statistically significant. There was no significant difference in IPSS, RUV and Qmax between the two groups at 3 months after operation. However, in the group of IPP≥5 mm, the Qmax increased, the residual urine volume decreased, and the IPSS score decreased more significantly, the difference were statistically significant.

The clinical symptoms and RUV of BPH were positively correlated with the length of IPP, while the Qmax was negatively correlated with the length of IPP. The curative effect of BPH patients with IPP≥5 mm was more significant. IPP is simple and cheap, and the patient has a high degree of acceptance which is suitable for promotion in primary hospitals.