选择性绿激光前列腺汽化术与经尿道前列腺双极等离子电切术治疗良性前列腺增生的疗效分析

Efficacy of selective green laser vaporization of prostate and transurethral bipolar plasma resection of prostate in the treatment of benign prostatic hyperplasia

目的研究选择性绿激光前列腺汽化术与经尿道前列腺双极等离子电切术治疗良性前列腺增生的疗效。方法对2017年5月-2019年7月收治的200例良性前列腺增生患者纳入本次研究,按照随机数字表法分为对照组和观察组,对照组100例采用经尿道前列腺双极等离子电切术,观察组100例采用选择性绿激光前列腺汽化术。将两组的治疗相关情况、血钠、血红蛋白水平、并发症发生率、最大尿流率和残余尿量、国际前列腺症状评分、生存质量评分进行比对。结果观察组患者的手术时间长于对照组,但留置导尿时间、术后住院时间均短于对照组,P <0.001;观察组患者术后的血钠、血红蛋白水平高于对照组,下降幅度小于对照组,P <0.001;观察组患者的并发症发生率明显低于对照组,P <0.05;两组患者治疗后的最大尿流率均大于治疗前,残余尿量、国际前列腺症状评分、生存质量评分均低于治疗前,P <0.05,组间各项指标对比差异无统计学意义(P>0.05)。结论在良性前列腺增生患者的治疗中,选择性绿激光前列腺汽化术的临床应用价值高于经尿道前列腺双极等离子电切术。

Objective To study the effect of selective green laser vaporization of prostate and transurethral bipolar plasma resection of prostate in the treatment of benign prostatic hyperplasia(BPH). Methods A total of 200 cases of BPH admitted from May 2017 to July 2019 were included in the study.According to the random number table method,they were divided into a control group and an observation group.One hundred cases in the control group were treated with transurethral bipolar plasma resection of prostate,and 100 cases in the observation group were treated with selective green laser vaporization of prostate.The treatment-related status,serum sodium,hemoglobin level,complication rate,maximum urine flow rate and residual urine volume,international prostate symptom score and quality of life score of the two groups were compared. Results The operation time of the observation group was longer than that of the control group,but the indwelling catheterization time and postoperative hospitalization time were shorter than those of the control group(P <0.001).The postoperative blood sodium and hemoglobin levels in patients of the observation group were higher than those of the control group,and the decrease was less than that of the control group(P <0.001).The complication rate of the observation group was significantly lower than that of the control group(P <0.05).In both groups,the maximum urine flow rate after treatment was higher than that before treatment,and the residual urine volume,the international prostate symptom score and the quality of life score were lower than those before treatment(P <0.05),and there was no significant difference by comparison of every index between the two groups(P >0.05). Conclusion In the treatment of BPH,the clinical application value of selective green laser vaporization of prostate is higher than that of transurethral bipolar plasma resection of prostate.