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首页> 中文期刊> 《中国男科学杂志》 >2μm 激光“刀削面式”前列腺剜除术操作及其疗效比较分析

2μm 激光“刀削面式”前列腺剜除术操作及其疗效比较分析

         
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摘要

目的：比较2μm激光“刀削面式”前列腺剜除术与经尿道前列腺电切术（TURP）治疗良性前列腺增生（BPH）的安全性和疗效。方法选取我院2008年5月至2009年11月收治173例BPH患者，依随机数字表将患者随机分为2组，A组为2μm激光“刀削面式”剜除87例，B组为TURP 86例。统计手术时间、术中出血量、术后留置尿管时间、住院时间、残余尿量（PVR）、最大尿流率（Qmax）、国际前列腺症状评分（IPSS）及生活质量评分（QoL）等指标的变化。结果 A组及B组手术时间、术中出血量、术后导尿管留置时间、术后住院时间分别为（59.4±25.1）min 及（70.7±30.3）min、（71.6±40.21）min及（150.4±61.3）min、（2.0±2.3）d及（3.5±2.9）d、（3.0±1.8）d及（4.8±2.5）d，两组比较差异有统计学意义（P＜0.05）。A组术中输血1例，B组5例，两组比较差异无统计学意义（P=0.112），两组术后血钠水平比较差异无统计学意义（P＞0.05）。术后随访3~6个月，A组PVR、IPSS、Qmax及QoL分别为（15.5±10.5）mL、（7.3±5.9）分、（25.2±3.8）ml/s、（1.6±1.1）分，B组分别为（16.7±12.3）mL、（6.7±6.5）分、（19.6±4.0）mL/s、（1.8±1.2）分，两组患者PVR、IPSS及QoL均较术前明显改善（P＜0.05），但术后两组间相比差异不具有统计学意义（P＞0.05）。A组术后出现4例假性尿失禁，但2个月内完全愈合，B组无尿失禁发生。结论2μm 激光“刀削面式”前列腺剜除术治疗BPH是一种安全有效的手术方式，与TURP相比具有手术时间短、术中出血少、术后留置导尿时间短、住院时间短等优点，特别有利于初学者，值得在临床推广。%Objective To compare the safety and efficacy of 2μm laser prostate "noodle style" resection and transurethral resection (TURP) in the treatment of benign prostatic hyperplasia (BPH). Methods Total of 173 patients with BPH in our hospital from May 2008 to November 2009 were enrolled in the study. Eighty-seven cases of them received the 70 W RevoLix (R) 2μm laser"noodle style"resection, and other 86cases underwent the prostate transurethral resection. The operative time, blood loss, indwelling catheterization time, hospitalization time, residual urine volume (PVR), Qmax, IPSS and QoL indicators’ changes were comparatively analyzed. Results The operation time, intraoperative blood loss, postoperative catheter indwelling time, postoperative hospitalization time of 2μm laser group and TURP group were respectively (59.4±25.1) min vs (70.7±30.3) min and (71.6±40.21) min vs (150.4±61.3) min and (2.0±2.3)d vs(3.5±2.9)d, (3.0±1.8)d vs (4.8±2.5)d, the differences were statistically significant (P<0.05).There was 1 case of intraoperative blood transfusion in 2μm laser group and there were 5 cases in TURP group, the differences were not statistically significant (P =0.112), and the difference of the postoperative and preoperative serum sodium levels between patients in the two groups was not statistically significant (P >0.05). The patients in the two groups were followedup for 3 to 6 months, PVR, IPSS, Qmax and QoL of 2μm laser group were respectively (15.5±10.5)mL, (7.3±5.9)points, (25.2±3.8)ml/s, (1.6±1.1)points and those of TURP group were (16.7±12.3)mL, (6.7±6.5)points, (19.6±4.0)ml/s, (1.8±1.2)points, the patients of PVR, IPSS and QoL in the two groups were improved significantly compared to those of the preoperative (P <0.05), but no statistical difference(P >0.05) was found. Four casse had false incontinence in 2μm laser group and no incontinence occurred in TURP group. Conclusion 2μm laser "noodle style" prostatectomy is a safe and effective surgical method for the treatment of BPH. It shows some advantages in operation time, bleeding, postoperative catheter indwelling time, hospital stay, etc. over TURP, it is especially beneficial for beginners, and deserves to be promoted in clinic.

著录项

  • 来源
    《中国男科学杂志》 |2014年第8期|27-30|共4页
  • 作者

    樊胜海; 李学德; 武英杰; 于永刚; 江志勇; 何庆鑫; 汪中兴; 贲晶华; 唐异姿;

  • 作者单位

    解放军第181中心医院男科中心 广西桂林 541002;

    解放军第181中心医院男科中心 广西桂林 541002;

    解放军第181中心医院男科中心 广西桂林 541002;

    解放军第181中心医院男科中心 广西桂林 541002;

    解放军第181中心医院男科中心 广西桂林 541002;

    解放军第181中心医院男科中心 广西桂林 541002;

    解放军第181中心医院男科中心 广西桂林 541002;

    解放军第181中心医院男科中心 广西桂林 541002;

    解放军第181中心医院男科中心 广西桂林 541002;

  • 原文格式 PDF
  • 正文语种 chi
  • 中图分类 R697.32;
  • 关键词

    激光疗法; 经尿道前列腺切除术; 前列腺增生;

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