改良HoLEP术治疗对良性前列腺增生患者的疗效

Efficacy of Modified HoLEP in the Treatment of Benign Prostatic Hyperplasia

目的分析改良前列腺钬激光剜除术(holmium laser enucleation of the prostate,HoLEP)对良性前列腺增生患者的疗效。方法选取2018年2月~2020年2月本院收治良性前列腺增生患者128例。按治疗方式不同分为A组(63例)和B组(65例),A组采用传统HoLEP术,B组采用改良HoLEP术。对比两组临床疗效及术后并发症发生率。结果B组手术时间显著短于A组,差异有统计学意义(P<0.05)。B组术后2周、4周尿失禁发生率均明显低于A组,差异有统计学意义(P<0.05)。结论采用HoLEP术和TURP术治疗前列腺增生的临床疗效相当,但HoLEP术后尿失禁的发生率比TURP术后明显降低。

Objective To analyze the efficacy of modified HoLEP in the treatment of benign prostatic hyperplasia.Methods In total,128 patients with benign prostatic hyperplasia were admitted and treated in The People's Hospital of Weiyuan.They were divided into A group(n=63)and B group(n=65)according to the treatment plan.Patients in the A group were performed conventional transurethral resection of the prostate(TURP),while patients in the B group were performed holmium laser prostate removal(HoLEP).The treatment results,and the incide nce of complications were compared between the two groups.Results The operation time in the B group was significantly shorter than that in the A group(P<0.05).The incidence of urinary incontinence in the B group was significantly lower than that in the A group at 2 and 4 weeks postoperatively(P<0.05).Conclusions The incidence of urinary incontinence is significantly lower in patients undergoing modified HoLEP,although the two methods for treating benign prostatic hyperplasia have equivalent efficacy.