经尿道前列腺电切术与选择性绿激光前列腺汽化术治疗良性前列腺增生症临床疗效对比

Comparative study of the clinical curative effect between transurethral resection and photoselective vaporization of the prostate

目的对比经尿道前列腺电切术(TURP)与经尿道选择性绿激光前列腺汽化术(PVP)两种微创术式治疗良性前列腺增生症(BPH)的临床疗效。方法对43例BPH患者的临床疗效进行比较,分别统计分析TURP和PVP两种术式在手术时间、术中出血量、术后导尿管留置天数、术后1月IPSS评分降低值、术后1月最大尿流率增加值、手术并发症发生率的差异。结果 PVP组较TURP组手术时间短、术中出血量少、术后留置导尿管时间短,两组有统计学差异;在术后1月IPSS评分降低值、最大尿流率增加值方面两组无明显统计学差异。PVP组的手术并发症发生率低于TURP组,但无统计学差异。结论 PVP是一种安全有效的治疗BPH的手术方式,相较于TURP更安全、患者痛苦少,两者术后疗效相似。

Objective To compare the clinical curative effect between transurethral resection and photoselective vaporization of the prostate. Methods To compare the clinical efficacy of 43 patients with BPH respectively. Statistical analysis of two kinds of operation were performed in the operation time,bleeding volume,postoperative days of indwelling urinary catheter,postoperative IPSS score one month after operation,Qmax increased value one month after operation,operation complication rate difference. Results In PVP group,there was shorter operation time,less bleeding during operation and fewer postoperative indwelling catheter days compared with TURP group. Postoperative IPSS score one month after operation and Qmax increased value one month after operation of two groups was similar. There are no significant differences of surgical complication rates between two group. Conclusion PVP is a safe and effective operation mode for treating BPH,less pain and more safety to compared with TURP. But the clinical curative effect after operation of two groups was similar.