经尿道1470 nm激光前列腺剜除术与TURP术治疗良性前列腺增生的疗效比较

Comparison of the efficacy of transurethral 1 470 nm laser enucleation of the prostate and TURP in the treatment of benign prostatic hyperplasia

目的探究经尿道1470 nm激光前列腺剜除术与前列腺电切术(TURP)治疗良性前列腺增生的临床疗效。方法选取2018年5月至2019年12月本院收治的80例良性前列腺增生患者作为研究对象,采用随机数表法分为A组与B组,每组40例。A组采用经尿道1470 nm激光前列腺剜除术,B组采用TURP,比较两组临床指标、前列腺症状、最大尿流量(Qmax)及并发症发生率。结果A组手术时间、膀胱冲洗时间、留置导尿管时间、下床活动时间及住院时间均短于B组,差异有统计学意义(P<0.05)。术后,两组IPSS评分均低于术前,且A组低于B组(P<0.05);两组Qmax水平均高于术前,且A组高于B组(P<0.05)。两组术后并发症发生率比较差异无统计学意义。结论与TURP比较,经尿道1470 nm激光前列腺剜除术治疗可缩短良性前列腺增生患者术后恢复时间,改善前列腺症状,提升尿流量,值得临床推广应用。

Objective To explore the clinical effects of transurethral 1470 nm laser enucleation of the prostate and transurethral resection of the prostate(TURP)in the treatment of benign prostatic hyperplasia.Methods 80 patients with benign prostatic hyperplasia admitted to our hospital from May 2018 to December 2019 were selected as the research subjects.They were divided into group A and group B by random number table method,with 40 cases in each group.Group A used transurethral 1470 nm laser enucleation of the prostate,and group B used TURP.The clinical indicators,prostate symptoms,maximum urine flow(Qmax)and complication rates were compared between the two groups.Results The operation time,bladder irrigation time,indwelling catheter time,getting out of bed and hospital stay in group A were shorter than those in group B,and the difference was statistically significant(P<0.05).After operation,the IPSS scores of the two groups were lower than those before the operation,and the group A was lower than the group B(P<0.05);the Qmax level of the two groups was higher than that before the operation,and the group A was higher than the group B(P<0.05).There was no statistically significant difference in the incidence of postoperative complications between the two groups.Conclusion Compared with TURP,transurethral 1470 nm laser enucleation of the prostate can shorten the postoperative recovery time of patients with benign prostatic hyperplasia,improve prostate symptoms,and increase urine flow.It is worthy of clinical application.