两种术式治疗良性前列腺增生患者的效果对比
Comparison on Effects of Two Surgical Methods in the Treatment of Patients with Benign Prostatic Hyperplasia
郭朝森 1李兵兵1
作者信息
- 1. 洛阳市偃师人民医院泌尿外科,河南洛阳 471900
- 折叠
摘要
目的 对比经尿道前列腺绿激光剜除术和经尿道直出绿激光前列腺推铲式汽切术治疗良性前列腺增生(BPH)患者的临床效果.方法 选取2020年6月至2022年7月我院收治的106例BPH患者,按手术方式不同分为A组(经尿道前列腺绿激光剜除术,50例)和B组(经尿道直出绿激光前列腺推铲式汽切术,56例).比较两组的手术情况、最大尿流率(Qmax)和剩余尿量(PVR).结果 A组手术时间短于B组,术中出血量少于B组(P＜0.05).术后3个月,两组的Qmax高于术前,PVR低于术前(P＜0.05),但组间比较无统计学差异(P＞0.05).结论 经尿道前列腺绿激光剜除术和经尿道直出绿激光前列腺推铲式汽切术治疗BPH均可获得良好的效果,但经尿道前列腺绿激光剜除术可明显缩短手术时间,减少术中出血量.
Abstract
Objective To compare the clinical effects of transurethral prostate green laser enucleation and transurethral straight-out green laser prostate push-shovel vaporesection in the treatment of patients with benign prostatic hyperplasia(BPH).Methods 106 BPH patients admitted to our hospital from June 2020 to July 2022 were divided into group A(transurethral prostate green laser enucleation,50 cases)and group B(transurethral straight-out green laser prostate push-shovel vaporesection,56 cases).The operation conditions,maximum urinary flow rate(Qmax)and post-void residual(PVR)were compared between the two groups.Results The operation time of group A was shorter than that of group B,and the intraoperative blood loss was less than that of group B(P＜0.05).3 months after operation,the Qmax of the two groups were higher than those before operation,and the PVR were lower than those before operation(P＜0.05),but no statistical difference was found between the two groups(P＞0.05).Conclusions Both prostate transurethral green laser enucleation and transurethral straight straight-out green laser prostate push shovel vaporesection can achieve good effects in the treatment of BPH,but transurethral prostate green laser enucleation can significantly shorten the operation time,and reduce intraoperative blood loss.
关键词
良性前列腺增生/经尿道前列腺绿激光剜除术/经尿道直出绿激光前列腺推铲式汽切术Key words
Benign prostatic hyperplasia/Transurethral prostate green laser enucleation/Transurethral straight-out green laser prostate push-shovel vaporesection引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据