摘要
目的：比较经尿道2μm激光前列腺剜除术及前列腺电切术治疗大体积良性前列腺增生的疗效及安全性。方法收集2011～2013年间79例在我院手术治疗的前列腺体积＞80 m L患者的临床资料，其中经尿道2μm激光前列腺剜除术45例，前列腺电切术34例，比较两组病例的手术时间、切除的腺体组织重量、术中出血量、持续膀胱冲洗时间、留置尿管时间、手术并发症及手术前后最大尿流率（Qmax）、残余尿量（PVRU）、国际前列腺症状评分（IPSS）、以及生活质量评分（QOL）情况。结果79例患者均一次手术成功，两组患者手术时间、术中出血量、持续膀胱冲洗时间、留置尿管时间比较，差异具有统计学意义（P＜0．05）；两组术中所切除的前列腺体组织重量无统计学差异（P＞0．05）；两组术后发生暂时性尿失禁、泌尿系感染、二次出血的例数比较，差异具有统计学意义（P＜0．05），两组均无死亡病例；两组患者Qmax、PVRU、IPSS及QOL评分较术前均有明显改善（P＜0．05），但两组间比较差异均无统计学意义（P＞0．05）。结论对于前列腺体积＞80 mL的大体积BPH患者，在做好围手术期准备、术者经验丰富的情况下，经尿道2μm激光前列腺剜除术和T U RP均有明显的临床效果，特别是经尿道2μm激光前列腺剜除术更具有术中出血少、安全性高、并发症少等优点。
Objective To compare the therapeutic effects of transurethral prostate enucleation with 2 μm laser and tran-surethral resection of prostate （TURP） in the treatment of benign prostatic hyperplasia （BPH） .Methods Clinical data of 79 patients （34 cases treated with TURP ,45 cases treated with 2 μm laser） with severe BPH treated during 2011 and 2013 were analyzed retrospectively .All prostates were larger than 80 mL .Data including operation time ,weight of resected tissues ,intr-aoperative blood loss ,continuous bladder irrigation time ,catheterization time ,complications ,International Prostate Symptom Score （IPSS） ,quality of life （QOL） score ,maximum urinary flow rate （Qmax） ,and postvoid residual urine （PVRU） before and after operation were analyzed .Results All operations were successful .There were significant differences in the opera-tion time ,intraoperative blood loss ,continuous bladder irrigation time and catheterization time between the TURP group and 2μm laser group （P0 .05） .For postoperative complications ,there were significant differences in temporary urinary incontinence ,urinary infection ,and sec-ondary hemorrhage between the two groups （P0 .05） .Conclusions TURP and 2 μm laser are both effective and safe for patients with severe BPH patients whose prostate volume is larger than 80 mL .With careful management ,2μm laser is a better choice than TURP .
出处
《现代泌尿外科杂志》
CAS
2015年第4期244-247,共4页
Journal of Modern Urology
