1470nm半导体激光与等离子经尿道前列腺电切术治疗良性前列腺增生的疗效比较

发布时间：2018-01-17 20:14

本文关键词：1470nm半导体激光与等离子经尿道前列腺电切术治疗良性前列腺增生的疗效比较　出处：《中国老年学杂志》2016年19期 　论文类型：期刊论文

【摘要】：目的探讨经尿道1 470 nm半导体激光汽化术(TUDLVP)与等离子前列腺电切术(TUPKRP)治疗良性前列腺增生(BPH)的有效性和安全性。方法将120例BPH患者按手术方式分为半导体激光组(DL组)和等离子组(PK组),每组各60例。比较两组手术时间、术中出血量、术后冲洗时间、术后导尿管留置时间、术后并发症发生率、术后1、3个月国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)、残余尿(PVR)等指标。结果 DL组手术时间(78.5±12.4)min,显著长于PK组(46.8±14.6)min;DL组出血量(50±15)ml,显著少于PK组(120±30)ml;DL组留置尿管时间(2.2±0.3)d,显著短于PK组(4.6±0.8)d(P0.05)。DL组术后1、3个月IPSS、QOL、Qmax、PVR与PK组无显著差异(P0.05)。结论 TUDLVP可达到与TUPKRP相同的治疗效果,可有效缓解BPH相关的下尿路症状,但出血少,留管时间短,效果更佳。
[Abstract]:Objective to investigate the treatment of benign prostatic hyperplasia (BPH) by transurethral 1,470 nm semiconductor laser vaporization (TUDLVP) and plasma resection of prostate (TUPKRP). Methods 120 patients with BPH were divided into semiconductor laser group (DL group) and plasma group (PK group). There were 60 cases in each group. The operative time, blood loss, postoperative irrigation time, postoperative catheter indwelling time, postoperative complication rate and postoperative 1. 3 months international prostate symptom score (IPSS), quality of life score (QOLN), maximum urinary flow rate (Qmax). Results the operative time of DL group was 78.5 卤12.4 min, which was significantly longer than that of competition group (46.8 卤14.6 min). The volume of bleeding in DL group was 50 卤15ml, which was significantly lower than that in control group (120 卤30ml). The duration of indwelling urinary catheter in DL group was 2.2 卤0.3 days, which was significantly shorter than that in competition group (4.6 卤0.8dP0.05). The QOLQmax of the DL group was 1 and 3 months after operation. There was no significant difference between PVR and the competition group (P 0.05). Conclusion TUDLVP can achieve the same therapeutic effect as TUPKRP, and can effectively relieve the lower urinary tract symptoms associated with BPH, but with less bleeding. Shorter tube retention time, better effect.
【作者单位】：青海省人民医院泌尿外科;
【分类号】：R699.8
【正文快照】： 良性前列腺增生症(BPH)是老年男性的多发病,经尿道前列腺电切术(TURP)一直是治疗BPH的“金标准”,近些年,随着腔内技术设备与技术的进步,越来越多的BPH采用其他方式进行治疗,包括各种激光(包括钬激光、绿激光、铥激光等)和等离子体前列腺汽化电切术。1 470 nm半导体激光是一种

【相似文献】