首页|经尿道前列腺钬激光剜除术治疗复发前列腺增生患者的临床分析

经尿道前列腺钬激光剜除术治疗复发前列腺增生患者的临床分析

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目的:研究经尿道前列腺钬激光剜除术治疗复发前列腺增生患者的临床效果。方法:收集承德市中心医院泌尿外科于 2020 年 9 月至 2023 年 9 月期间所收治的 60 例经尿道前列腺电切术(TURP)后再次出现中重度下尿路梗阻症状的患者为研究对象,并按随机数字表法,将其平分为两组:对照组与观察组,每组患者各30 例。对照组行前列腺电切术,观察组行经尿道前列腺钬激光剜除术,对比两组临床疗效。结果:治疗前,两组患者前列腺功能、康复评分均无显著差异(P>0。05);治疗后,两组患者均有显著改善情况(P<0。05),且观察组显著优于对照组,差异有统计学意义(P<0。05)。观察组术后并发症发生率低于对照组(P<0。05);观察组手术时间、住院时间、出血量、膀胱冲洗时间等临床指标,均优于对照组(P<0。05)。结论:在复发前列腺增生的手术治疗中,经尿道前列腺钬激光剜除术不仅提升了手术治疗效果与安全性,还能降低术后并发症的发生率,值得临床推广。
Clinical Analysis of Transurethral Holmium Laser Enucleation of the Prostate in Treating Patients with Recurrent Benign Prostatic Hyperplasia
Objective:To investigate the clinical effect of transurethral holmium laser enucleation of the prostate(HoLEP)in treating patients with recurrent benign prostatic hyperplasia(BPH).Methods:Sixty pa-tients who developed moderate to severe lower urinary tract obstruction symptoms after undergoing transurethral resection of the prostate(TURP)and were treated in the Urology Department of Chengde Central Hospital from September 2020 to September 2023 were selected as the study subjects.The patients were randomly di-vided into two groups according to a random number table:control group and observation group,with 30 pa-tients in each group.The control group underwent TURP,while the observation group underwent HoLEP.The clinical effectiveness of the two groups was compared.Results:Before treatment,there were no significant differences in prostate function and recovery scores between the two groups(P>0.05).After treatment,both groups showed significant improvement(P<0.05),with the observation group showing significantly better re-sults than the control group,with statistically significant differences(P<0.05).The incidence of postopera-tive complications in the observation group was lower than that in the control group(P<0.05).Additionally,clinical indicators such as operation time,hospital stay,blood loss,and bladder irrigation time in the observa-tion group were better than those in the control group(P<0.05).Conclusion:In the surgical treatment of re-current BPH,transurethral HoLEP not only enhances the effectiveness and safety of the procedure but also re-duces the incidence of postoperative complications,making it worthy of clinical promotion.

Transurethral holmium laser enucleation of the prostateTransurethral resection of the prostateRecurrent benign prostatic hyperplasia

许艳丽、王健、孙国良、国素云

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河北省承德市中心医院,河北 承德 067000

河北省承德市疾病预防控制中心/承德市卫生监督所,河北 承德 067000

经尿道前列腺钬激光剜除 前列腺电切术 复发前列腺增生

河北省承德市科技计划

202006A021

2024

河北医学
河北省医学会

河北医学

CSTPCD
影响因子:1.915
ISSN:1006-6233
年,卷(期):2024.30(5)
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