程序化经尿道铥激光前列腺剜除术的疗效评价

Therapeutic evaluation of programmed thulium laser transurethral enucleation of the prostate

目的评价程序化经尿道铥激光前列腺剜除术的临床疗效。方法回顾性分析2018年1月至2019年8月本院79例因前列腺增生行经尿道铥激光前列腺剜除术的患者临床资料,其中行常规经尿道铥激光前列腺剜除术患者41例(对照组),行程序化经尿道铥激光前列腺剜除术患者38例(观察组),比较两组术前的一般资料及术中、术后恢复的相关指标。结果所有患者均顺利完成手术,两组患者术后3个月的国际前列腺症状评分(IPSS)、生活质量评分(QOL)及最大尿流量(Qmax)均较手术前改善(P<0.05)。观察组的手术剜除时间、术后血红蛋白、术后膀胱冲洗时间、留置导尿管时间、QOL及术后并发症发生率均低于对照组,差异有统计学意义(P<0.05)。观察组术后3个月的IPSS和Qmax虽较对照组稍有改善,但差异无统计学意义(P>0.05)。结论程序化经尿道铥激光前列腺剜除术的疗效确切,能缩短手术时间及术后恢复时间,出血少、恢复快且并发症少,值得在临床推广。

Objective To investigate the clinical effects of programmed thulium laser transurethral enucleation of the prostate(ThuLEP).Methods Clinical dates of 79 patients with benign prostatic hypertrophy undergoing ThuLEP during January 2018 to August 2019 were retrospectively analyzed,among whom,41 received conventional ThuLEP(control group)and 38 received programmed ThuLEP(observation group).The general preoperative data,intraoperative and postoperative recovery indicators of the two groups were compared.Results All 79 patients successfully underwent the ThuLEP.Three months after the operation,IPSS,QOL scores and Qmax were improved compared with those before the operation(P<0.05).The observation group had obvious advantages over the control group in the aspects of surgical enucleation time,hemoglobin change,bladder irrigation time,indwelling catheter time and incidence of postoperative complications(P<0.05).The IPSS scores and Qmax values in observation group were significantly improved than those in control group,but there was no statistical difference between the two group(P>0.05).Conclusions Programmed thulium laser transurethral enucleation of the prostate has better curative effect,shorter operation time,less bleeding rate,faster recovery time and fewer complications,which is worth popularized in clinical application.