直出绿激光汽化切除术与选择性绿激光汽化术治疗良性前列腺增生的疗效分析

发布时间：2019-06-13 06:45

【摘要】：目的总结分析直出绿激光前列腺汽化切除术(PVRP)与选择性绿激光前列腺汽化术(PVP)在治疗良性前列腺增生症(BPH)方面的安全性和临床疗效。方法将113例BPH患者随机分为两组,PVRP组62例,PVP组51例。比较两组手术时间、术中出血量、术后持续膀胱冲洗时间、导尿管留置时间;观察两组手术前、后生活质量评分(QOL)、国际前列腺症状评分(IPSS)、残余尿量(PVR)、最大尿流率(Q_(max))及术后并发症发生情况。结果所有患者手术均成功,无严重并发症发生。PVRP手术时间(49.4±18.9)min明显少于PVP组(75.1±20.7)min(P0.05);两组间术中出血量、膀胱冲洗时间比较差异无统计学意义(P0.05)。两组术后6个月Q_(max)、PVR、IPSS、QOL均明显改善,与术前比较差异均有统计学意义(P0.05)。两组间比较,上述指标间差异均无统计学意义(P0.05)。结论直出光PVRP及PVP治疗BPH安全、有效,PVRP在手术时间上较PVP更有优势。
[Abstract]:Objective to summarize and analyze the safety and clinical efficacy of direct green laser vaporization of prostate (PVRP) and selective green laser vaporization of prostate (PVP) in the treatment of benign prostatic hyperplasia (BPH). Methods 113patients with BPH were randomly divided into two groups: PVRP group (n = 62) and PVP group (n = 51). The operation time, intraoperative bleeding volume, postoperative continuous bladder irrigation time and catheter indwelling time were compared between the two groups, and the maximum urinary flow rate (Q( max) of (IPSS), residual urine volume (Q( max) and postoperative complications were observed before and after operation. Results all the patients were successful and no serious complications occurred. The operation time of PVRP (49.4 卤18.9) min was significantly lower than that of PVP group (75.1 卤20.7) min (/ P 0.05), and there was no significant difference in intraoperative bleeding and bladder flushing time between the two groups (P 0.05). Q _ (max), PVR,IPSS,QOL was significantly improved in both groups at 6 months after operation, which was significantly different from that before operation (P 0.05). There was no significant difference between the two groups (P 0.05). Conclusion Direct light PVRP and PVP are safe and effective in the treatment of BPH. PVRP has more advantages than PVP in operation time.
【作者单位】：新乡医学院第一附属医院泌尿外一科;新乡医学院第一附属医院泌尿外二科;
【基金】：新乡医学院第一附属医院博士科研基金(No:xyyfy2014BS-003)
【分类号】：R699.8

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