应用钬激光与等离子行经尿道剜除治疗良性前列腺增生的疗效比较

Comparison of therapeutic effects between holmium laser and plasma transurethral enucleation in the treatment of benign prostatic hyperplasia

目的:对比经尿道钬激光前列腺剜除术(双向会师打沟两分区法)与经尿道等离子剜除术的临床疗效。方法:选取2019年12月至2022年12月在本院的良性前列腺增生症的258例患者,按照随机数表法分为观察组(132例)和对照组(126例),观察组采用经尿道钬激光前列腺剜除术,对照组采用经尿道前列腺等离子剜除术,评估两种手术方法的疗效。结果:两组术后6个月I-PSS症状评分、生活质量(QOL)评分、最大尿流率(Qmax)、残余尿量(PVR)等指标较术前均有显著改善(P<0.05),两组间的差异无统计学意义(P>0.05)。观察组术后并发症的发生率明显小于对照组(P<0.05)。两组患者性功能和逆向射精差异无统计学意义(P>0.05)。结论:经尿道钬激光前列腺剜除术临床效果显著,较等离子前列腺剜除术安全性高,创伤小,术后恢复快,是治疗良性前列腺增生的一种安全有效的方法。

Objective:Comparison of clinical efficacy between transurethral holmium laser prostate enucleation(two-way ren-dezvous and trenching method)and transurethral plasma enucleation.Methods:A total of 258 patients with benign prostatic hyper¬plasia who were admitted to our hospital from December 2019 to December 2022 were randomly divided into an observation group(132 cases)and a control group(126 cases)using a random number table method.The observation group underwent transurethral holmium laser prostatectomy,while the control group underwent transurethral plasma prostatectomy,evaluate the efficacy of two surgical meth¬ods.Result:The I-PSS symptom score,quality of life(QOL)score,maximum urinary flow rate(Qmax),residual urine volume(PVR)and other indicators were significantly improved in both groups after 6 months of surgery compared to before(P<0.05),and there was no statistically significant difference between the two groups(P>0.05).The incidence of postoperative complications in the observation group was significantly lower than that in the control group(P<0.05).There was no statistically significant difference in sexual function and retrograde ejaculation between the two groups of patients(P>0.05).Conclusion:Both surgical methods have good surgical efficacy,but compared with prostate plasma resection,holmium laser prostatectomy can reduce intraoperative bleeding in patients with BPH,effectively shorten catheter retention time,patient hospitalization time,and postoperative bladder flushing time,resulting in higher quality of life and safety.