经尿道钬激光剜除术与经尿道等离子电切术治疗良性前列腺增生的疗效分析

Analysis of the Efficacy of Transurethral Holmium Laser Enucleation and Transurethral Plasma Electrodessication in the Treatment of Benign Prostatic Hyperplasia

目的探讨良性前列腺增生采取经尿道钬激光剜除术与经尿道等离子电切术治疗的差异。方法选取2020年1月—2023年9月安徽省霍邱县第二人民医院收治的82例良性前列腺增生患者为研究对象,随机数表法分为两组,每组41例。对照组采用经尿道等离子电切术治疗,观察组采用经尿道钬激光剜除术治疗,对比两组手术指标、并发症与预后情况。结果观察组手术用时(92.73±8.94)min长于对照组,术中出血量(51.36±5.48)mL少于对照组,膀胱冲洗、导尿管留置与住院时间分别为(26.62±2.11)h、(3.66±1.02)d、(6.27±1.12)d,均短于对照组,差异有统计学意义(t=12.775、23.628、31.350、6.774、8.989,P均<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。与术前相比,术后3个月,两组患者最大尿流量水平均上升,国际前列腺症状评分与生活质量评分均降低,差异有统计学意义(P均<0.05),但组间比较,差异无统计学意义(P均>0.05)。结论良性前列腺增生患者采取经尿道钬激光剜除术与经尿道等离子电切术的疗效相当,但经尿道钬激光剜除术的出血量和术后不良反应较少,患者恢复更快。

Objective To explore the difference between the treatment of benign prostatic hyperplasia by transurethral holmium laser enucleation and transurethral plasma electrodessication respectively.Methods 82 patients with benign prostatic hyperplasia admitted to Huoqiu County Second People's Hospital of Anhui Province from January 2020 to September 2023 were selected as the study objects and were divided into two groups with 41 cases in each group by random number table method.The control group was treated with transurethral plasma electrodessication and the ob⁃servation group was treated with transurethral holmium laser enucleation.Surgical indexes,complications and progno⁃sis were compared between the two groups.Results The operation time of the observation group(92.73±8.94)min was longer than that of the control group,the intraoperative bleeding(51.36±5.48)mL was less than that of the control group,and the patients'bladder irrigation,catheterization and hospitalization time were(26.62±2.11)h,(3.66±1.02)d,and(6.27±1.12)d,which were shorter than those of the control group,and the differences were statistically significant(t=12.775,23.628,31.350,6.774,8.989,all P<0.05).The complication rate in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Compared with preoperutive,the maximum flow rate of the two groups increased,the International Prostate Symptom score and Quality of Life score de⁃creased at 3 months after surgery,and the differences were statistically significant(all P<0.05),but the differences be⁃tween the two groups were not statistically significant(all P>0.05).Conclusion The efficacy of transurethral holmium laser enucleation and transurethral plasma electrodessication in patients with benign prostatic hyperplasia is compa⁃rable,and transurethral holmium laser enucleation has a better hemostatic effect,fewer postoperative adverse reac⁃tions,and faster recovery.