首页|经尿道红激光剜除术治疗巨大前列腺增生的临床疗效分析

经尿道红激光剜除术治疗巨大前列腺增生的临床疗效分析

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目的 探讨经尿道红激光剜除术治疗巨大前列腺增生的疗效.方法 160例巨大前列腺增生(体积>80 ml)患者,采用随机数字表法分为对照组和研究组,每组 80 例.对照组患者采用经尿道前列腺电切术治疗,研究组患者开展经尿道红激光剜除术治疗.比较两组患者手术指标、症状评分、最大尿流率、残余尿量、术后并发症发生情况.结果 研究组患者手术时间(58.32±6.02)min、住院时间(6.23±1.02)d短于对照组的(70.57±7.21)min、(7.88±1.06)d,术中出血量(166.11±8.22)ml少于对照组的(319.21±7.21)ml(P<0.05).术前、术后 3 个月,两组患者国际前列腺症状评分表(IPSS)评分、最大尿流率、残余尿量比较差异不明显(P>0.05);术后 3 个月,两组患者IPSS评分、最大尿流率、残余尿量均较本组治疗前改善(P<0.05).研究组患者术后并发症发生率为1.25%,低于对照组的11.25%(P<0.05).结论 采用经尿道红激光剜除术对巨大前列腺增生患者进行治疗,相比传统的经尿道前列腺电切术疗效更好,创伤性更小,安全系数更高,术后恢复更快,并发症更少.
Analysis of the clinical efficacy of transurethral red laser enucleation for giant prostatic hyperplasia
Objective To explore the efficacy of transurethral red laser enucleation for giant prostatic hyperplasia.Methods 160 patients with giant prostatic hyperplasia(volume>80 ml)were divided into a control group and a study group using randomized numerical table method,each consisting of 80 patients.The control group performed transurethral resection of prostate,and the study group performed transurethral red laser enucleation.The surgical indicators,symptom scores,maximum urinary flow rate,residual urine volume,and postoperative complications were compared between the two groups.Results The study group had operation time of(58.32±6.02)min and hospital stay of(6.23±1.02)d,which were shorter than(70.57±7.21)min and(7.88±1.06)d in the control group;the intraoperative blood loss was(166.11±8.22)ml in the study group,which was less than(319.21±7.21)m in the control group(P<0.05).There were no significant differences in International Prostate Symptom Score(IPSS),maximum urinary flow rate and residual urine volume between the two groups before and 3 months after surgery(P>0.05).At 3 months after surgery,IPSS score,maximum urinary flow rate and residual urine volume in both groups were improved compared with those before treatment(P<0.05).The incidence of postoperative complications in the study group was 1.25%,which was lower than 11.25%in the control group(P<0.05).Conclusion Transurethral red laser enucleation has better efficacy,less traumatic,higher safety factor,faster postoperative recovery and less complications than traditional transurethral resection of prostate.

Transurethral red laser enucleationGiant prostatic hyperplasiaEfficacyAnalysis

唐保力、程健

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271000 泰安市中医医院

271000 泰安市中心医院

经尿道红激光剜除术 巨大前列腺增生 疗效 分析

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(14)
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