逆行Holep与传统Holep治疗高危大体积前列腺增生效果比较

发布时间：2018-05-03 08:12

本文选题：前列腺增生 + 大体积　；参考：《山东医药》2017年18期

【摘要】：目的比较逆行经尿道前列腺钬激光剜除术(Holep)与传统Hoelp两种方法治疗高危大体积良性前列腺增生(BPH)的效果。方法将202例高危大体积BPH患者随机分为A组102例和B组100例,分别采用传统Holep、逆行Holep治疗,记录两组的手术基本情况及并发症,术前及术后3个月行国际前列腺症状评分(IPSS)、生活质量指数(QOL)评分并检查残余尿量(PVR)、最大尿流率(Qmax)。结果两组术后膀胱冲洗时间、留置导尿时间、住院时间及并发症比较均无统计学意义,B组手术时间、术中出血量小于A组(P均0.05)。与术前比较,术后3个月两组IPSS、QOL评分、PVR降低而Qmax升高(P均0.05),两组术前术后各指标比较均无统计学意义。结论逆行与传统Holep均可有效治疗高危大体积BPH,但逆行Holep术中出血量少、手术时间短、安全性高。
[Abstract]:Objective to compare the efficacy of retrograde transurethral holmium laser enucleation of the prostate (Holmium laser enucleation of the prostate) with traditional Hoelp in the treatment of high risk benign prostatic hyperplasia (BPH). Methods 202 patients with high risk and large volume BPH were randomly divided into group A (102 cases) and group B (100 cases). They were treated with traditional Holep and retrograde Holep respectively. Before and 3 months after operation, IPSS scores, QOLs, QOLs and residual urine volume (PVRV) were evaluated, and the maximal urinary flow rate (MVF) was measured. Results there was no significant difference in postoperative bladder irrigation time, indwelling catheterization time, hospitalization time and complications between the two groups. The amount of intraoperative bleeding in group B was less than that in group A (P < 0.05). Three months after operation, the scores of IPSS QOL decreased and Qmax increased (P < 0.05) in the two groups, but there was no significant difference between the two groups before and after operation. Conclusion both retrograde and conventional Holep can be effective in the treatment of high risk and large volume BPH, but the amount of blood loss during retrograde Holep is less, the operation time is short, and the safety is high.
【作者单位】：中南大学湘雅三医院;湘潭市第一人民医院;
【分类号】：R699.8

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