经尿道半导体激光前列腺剜除术的临床应用

发布时间：2018-05-14 13:46

本文选题：经尿道半导体激光前列腺剜除术 + 良性前列腺增生　；参考：《中国老年学杂志》2017年21期

【摘要】：目的探讨经尿道半导体激光前列腺剜除术在临床上的应用。方法良性前列腺增生(BPH)患者310例,根据手术方式分为观察组210例和对照组100例。观察组给予经尿道半导体激光前列腺剜除术治疗;对照组给予经尿道前列腺电切术(TURP)治疗。于术前和术后3个月记录并对比两组国际前列腺症状评分(IPSS)、残余尿量(PVR)、生活质量评分(QOL)及最大尿流率(Qmax),记录并对比两组围术期各项临床指标和手术并发症发生率。结果与术前相比,两组术后3个月IPSS、QOL、PVR显著降低,Qmax显著升高(P0.05);观察组手术时间、术中出血量、术后膀胱冲洗时间、尿管留置时间、住院时间及手术并发症发生率均低于对照组(均P0.05)。结论经尿道半导体激光前列腺剜除术和TURP均能有效治疗BPH患者,但前者较TURP优势明显。
[Abstract]:Objective to investigate the clinical application of transurethral laser enucleation of the prostate. Methods 310 patients with BPH were divided into observation group (210 cases) and control group (100 cases). The observation group was treated with transurethral laser enucleation of the prostate and the control group with transurethral resection of the prostate (TURP). The international prostate symptom scores (IPSS), residual urine volume (PVR), quality of life (QOLs) and the maximal urinary flow rate (Qmaxus) were recorded and compared between the two groups before and 3 months after operation. The clinical indexes and the incidence of postoperative complications were recorded and compared between the two groups during the perioperative period. Results compared with preoperative, IPSS QOLN PVR decreased significantly in the two groups at 3 months after operation, and increased significantly in the observation group, and the operation time, intraoperative bleeding volume, postoperative bladder irrigation time and urinary catheter retention time were significantly increased in the observation group. The duration of hospitalization and the incidence of complications were significantly lower than those in the control group (P 0.05). Conclusion both transurethral semiconductor laser enucleation of the prostate and TURP can effectively treat BPH patients, but the former is superior to TURP.
【作者单位】：天津市武清区人民医院泌尿外科;
【基金】：天津市武清区科技发展计划项目(No.WQKJ201440)
【分类号】：R699.8

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