经尿道绿激光直出光纤前列腺锐性剜除术对前列腺增生症患者的影响观察

Observation on the impact of transurethral photo-selective sharp- enucleation of Prostate with green-laser Fiber on Patients with benign prostatic Hyperplasia

目的探讨前列腺增生症(BPH)患者应用经尿道绿激光直出光纤前列腺锐性剜除术(PSEP)对其术后排尿情况及预后的影响。方法选取2020年6月至2022年6月焦作市博爱县人民医院泌尿外科收治的60例BPH患者作为研究对象。将其随机均分为研究组与对照组,各30例,对照组采用经尿道前列腺等离子电切术(TURP)进行治疗,研究组采用PSEP进行治疗,随访6个月。比较两组患者手术时间及住院时间,对比术前与术后6个月时两组患者的排尿功能指标[最大尿流速率(Qmax)、残余尿量(PVR)]、国际前列腺症状评分(IPSS)及生活质量评分量表(QOL)等相关指标,比较住院期间两组患者并发症情况。结果研究组手术时间及住院时间均短于对照组,差异具有统计学意义(P<0.05)。两组患者术后6个月时IPSS评分、PVR、QOL评分均明显低于术前,Qmax明显高于术前,且研究组患者IPSS评分、PVR、QOL评分低于对照组,Qmax高于对照组,差异均有统计学意义(P<0.05)。研究组的并发症发生率较对照组低,差异无统计学意义(P>0.05)。结论PSEP术治疗BPH,相较于TURP术操作更为简单便利,患者术后恢复更快且排尿功能改善效果更好,具有较高安全性,可改善患者的生活质量与预后。

Objective To explore the impact of transurethral photo-selective sharp-enucleation of prostate with green-laser fiber(PSEP)on postoperative urination and prognosis in patients with benign prostatic hyperplasia(BPH).Methods A total of 60 BPH patients admitted to the Department of Urology at Boai County People's Hospital in Jiaozuo City from June 2020 to June 2022 were selected as the study subjects.They were randomly divided into study group and control group,with 30 cases in each group.The control group was treated with transurethral resection of prostate(TURP),while the study group was treated with PSEP.The patients were followed up for 6 months.The surgical time and hospitalization time between two groups of patients were compared,and the urinary function indicators[maximum urinary flow rate(Qmax),post-voiding residual volume(PVR)],International Prostate Symptom Scale(IPSS),and Quality of Life Scale(QOL)of the two groups of patients before and 6 months after surgery were compared.the complications of the two groups of patients during hospitalization were compared.Results The surgical time and hospital stay in the study group were shorter than those in the control group,and the difference was statistically significant(P<0.05).At 6 months after surgery,the IPSS score,PVR,and QOL score of the two groups of patients were significantly lower than those before surgery,and Qmax was significantly higher than that before surgery.In addition,the IPSS score,PVR,and QOL score of the study group were lower than those of the control group,and Qmax was higher than that of the control group,with statistical significance(P<0.05).The incidence of complications in the study group was lower than that in the control group,and the difference was not statistically significant(P>0.05).Conclusion PSEP surgery for the treatment of BPH is simpler and more convenient than TURP surgery,with faster postoperative recovery and better improvement in urinary function.It has high safety and can improve the quality of life and prognosis of patients.