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Ablative efficiency of lithium triborate laser vaporization and conventional transurethral resection of the prostate: A comparison using transrectal three-dimensional ultrasound volumetry

机译:三硼酸锂激光汽化和常规经尿道前列腺切除术的烧蚀效率:经直肠三维超声容积法的比较

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Introduction and objectives: It is unknown if tissue ablation following 120W lithium triborate (LBO) laserrnvaporization (LV) of the prostate is comparable to that following transurethral resection of the prostate (TURP).rnTherefore, transrectal 3D-ultrasound volumetry of the prostate was performed to compare the efficiency of tissuernablation between LBO-LV and TURP.rnMethods: Between 03/2008 and 03/2010 110 patients underwent routine LBO-LV (n=61) or TURP (n=49). Transrectalrn3D-ultrasound with planimetric volumetry of the prostate was performed pre-operatively, after catheter removal, 6 weeksrnand 6 months.rnResults: Median prostate volume was 52.5ml in the LV group and 46.9ml in the TURP group. After catheter removal,rnmedian absolute volume reduction (LV: 7.05ml, TURP: 15.8ml) and relative volume reduction (15.9% vs. 34.2%) werernsignificantly lower in the LV group (p<0.001). After 6 weeks/ 6 months, the relative volume reduction but not thernabsolute remained significantly lower in the LV group.rnConclusions: LBO-LV is an efficient procedure evidenced by an absolute tissue ablation not significantly different tornthat after TURP. However, TURP seems to be superior due to a higher relative tissue ablation. The differences in tissuernablation had no impact on the early clinical outcome. Delayed volume reduction indicates that prostatic swelling occursrnearly after LV and then decreases subsequently.
机译:导言和目的:未知120W三硼酸锂(LBO)激光汽化(LV)后的组织消融是否与经尿道前列腺电切术(TURP)相当。因此,进行了前列腺的经直肠3D超声容积检查比较LBO-LV和TURP之间组织消融的效率。方法:在03/2008年和03/2010年之间,有110例患者接受了常规LBO-LV(n = 61)或TURP(n = 49)。术前经直肠直肠容积术经直肠直肠3D超声检查,拔除导管后6周和6个月。结果:LV组中位前列腺体积为52.5ml,TURP组中位前列腺体积为46.9ml。拔除导管后,LV组的中位数绝对体积减少(LV:7.05ml,TURP:15.8ml)和相对体积减少(15.9%vs. 34.2%)显着降低(p <0.001)。在6周/ 6个月后,LV组的相对体积减少,但绝对值仍没有明显降低。结论:LBO-LV是一种有效的方法,其绝对组织消融证明与TURP后无明显差异。但是,由于较高的相对组织消融,TURP似乎更好。组织消融的差异对早期临床结果没有影响。延迟的体积减少表明左后不久,前列腺会发生肿胀,然后逐渐减少。

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