经尿道钬激光前列腺剜除术治疗良性前列腺增生的研究进展

Progress of transurethral holmium laser enucleation of the prostate in the treatment of benign prostatic hyperplasia

经尿道前列腺电切术(TURP)虽然是目前治疗良性前列腺增生的金标准,但存在一些不足和缺点。近年来,随着技术的不断发展,各种内镜微创手术不断涌现,经尿道钬激光前列腺剜除术(HoLEP)是其中的一种。许多医疗中心的泌尿外科已经开展了这项手术方式,其中大多数取得了比TURP更好的治疗效果。与TURP相比,HoLEP具有尿管留置时间短、住院时间短、出血少、并发症少、再手术率低等优点。本文将从HoLEP的临床应用特征、手术适应证、手术并发症、手术有效性、术后偶发前列腺癌的治疗及与TURP的相互比较等方面作一综述。

Although transurethral resection of the prostate(TURP)is the gold standard for the treatment of benign prostatic hyperplasia,it has some shortcomings and disadvantages.In recent years,with the continuous development of technology,a variety of minimally invasive endoscopic surgeries have been emerging,including transurethral holmium laser enucleation of the prostate(HoLEP).Many urology medical centers have performed this surgery,most of which have achieved better results than TURP.Compared with TURP,HoLEP has the advantages of shorter catheter indwelling time,shorter hospital stay,less bleeding,fewer complications and lower reoperation rate.In this paper,the clinical application characteristics,surgical indications,surgical complications,surgical effectiveness,treatment of postoperative incidental prostate cancer and the comparison with TURP were reviewed.