经尿道前列腺等离子电切术与2μm铥激光汽化切除术治疗良性前列腺增生症的并发症对比

发布时间：2018-11-24 08:15

【摘要】：目的比较分析经尿道前列腺等离子电切术(TURP)与经尿道2μm铥激光前列腺汽化切除术(TmLRP)治疗良性前列腺增生症(BPH)的并发症。方法选择行手术治疗的BPH患者共200例,根据不同手术方式分为两组,其中TURP组105例、TmLRP组95例,两组患者一般情况、前列腺体积以及相关评分差异无统计学意义(P0.05)。随访半年,比较分析采用两种术式治疗BPH发生术中电切综合征(TURS)、出血以及术后发生膀胱颈挛缩、尿道狭窄、急性附睾炎、尿失禁、尿道狭窄、勃起功能障碍(ED)等并发症情况。结果 TmLRP组术中发生TURS、出血等并发症均明显少于TURP组(P0.05);术后1周内,TmLRP组发生下尿路症状(LUTS)、急性附睾炎并发症明显少于TURP组(P0.05);术后1个月内,TmLRP组发生继发性血尿、尿道狭窄、腺体残留并发症明显少于TURP组(P0.05);术后3个月内,TmLRP组并发膀胱颈挛缩、尿失禁明显少于TURP组(P0.05);术后6个月内,TmLRP组发生ED者明显少于TURP组(P0.05)。结论 TmLRP组术中及术后并发症明显少于TURP组,是一种治疗BPH安全可靠的手术方式。
[Abstract]:Objective to compare the complications of transurethral plasma resection of prostate (TURP) and transurethral 2 渭 m thulium laser vaporization of prostate (TmLRP) in the treatment of benign prostatic hyperplasia (BPH). Methods two hundred patients with BPH were divided into two groups according to different surgical methods: 105 cases in TURP group and 95 cases in TmLRP group. There was no significant difference in general condition, prostate volume and related score between the two groups (P0.05). After half a year follow up, two kinds of operation methods were compared and analyzed to treat BPH with intraoperative electrosurgical resection syndrome (TURS),) bleeding, bladder neck contracture, urethral stricture, acute epididymitis, urinary incontinence, urethral stricture. Complications such as erectile dysfunction (ED). Results the complications of TURS, hemorrhage in TmLRP group were significantly less than those in TURP group (P0.05), and the complications of (LUTS), acute epididymitis in TmLRP group were significantly less than those in TURP group within 1 week after operation (P0.05). Within 1 month after operation, secondary hematuria, urethral stricture and glandular residual complications in TmLRP group were significantly less than those in TURP group (P0.05), and within 3 months after operation, bladder neck contracture occurred in TmLRP group and urinary incontinence was significantly lower than that in TURP group (P0.05). Within 6 months after operation, the incidence of ED in TmLRP group was significantly lower than that in TURP group (P0.05). Conclusion the intraoperative and postoperative complications in TmLRP group are significantly less than those in TURP group, which is a safe and reliable method for the treatment of BPH.
【作者单位】：昆明医科大学第一附属医院泌尿外一科;
【分类号】：R699.8

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