重点方位血管预止血技术在钬激光前列腺剜除术中的临床应用

Clinical application of holmium laser enucleation of prostate with key directional vessel prehemostasis technique

目的 探讨重点方位血管预止血技术在大体积良性前列腺增生(BPH)患者钬激光前列腺剜除术(HoLEP)中应用的临床效果。方法 选取86例大体积BPH患者为研究对象,随机分为观察组42例和对照组46例。在HoLEP中,观察组采用重点方位血管预止血技术,对照组采用常规方法进行血管止血。比较2组患者剜除手术时间、血红蛋白下降量、术后膀胱冲洗时间、留置尿管时间、术后住院时间。结果 2组患者手术均顺利完成。观察组术中血红蛋白下降量小于对照组,术后持续膀胱冲洗时间短于对照组,差异有统计学意义(P<0.05)。2组患者术后均无并发症发生。结论 在大体积BPH患者HoLEP中采用重点方位血管预止血技术的效果较好,可减少术中失血量,缩短患者术后康复时间。

Objective To investigate the clinical effect of holmium laser enucleation of the prostate(HoLEP) of large volume benign prostate hyperplasia with key directional vascular prehemostasis technique. Methods A total of 86 patients with BPH were selected as study subjects, and were randomly divided into observation group(n=42) and control group(n=46). In HoLEP, the observation group was treated with key directional vascular prehemostasis technique, while the control group was treated with conventional vascular hemostasis. The time of enucleation, decreased amount of hemoglobin, postoperative bladder flushing time, indwelling catheter time and postoperative hospital stay were compared between the two groups. Results Surgery was successfully completed in both groups. The decrease of intraoperative hemoglobin in the observation group was significantly lower than that in the control group, and the duration of postoperative bladder flushing was significantly shorter than that in the control group(P<0.05). There were no postoperative complications in the two groups. Conclusion In large volume prostatic HoLEP, the application of key directional vessel prehemostasis technique has a better effect, which can reduce intraoperative blood loss and shorten postoperative recovery time for patients with large volume BPH.