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首页> 外文期刊>Journal of Lasers in Medical Sciences >Green Light Photo Selective Vaporization of the Prostate vs. Transurethral Resection of Prostate for Benign Prostatic Hyperplasia
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Green Light Photo Selective Vaporization of the Prostate vs. Transurethral Resection of Prostate for Benign Prostatic Hyperplasia

机译：前列腺与经尿道前列腺电切术对良性前列腺增生的绿光照片选择性汽化

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INTRODUCTION: Green light photo selective vaporization of the prostate (PVP) is a minimally invasive method of treatment for clinical benign prostatic hyperplasia with fewer side effects. The aim of this study is to evaluate the safety, effectiveness and cost analysis of PVP compared with transurethral resection of prostate. METHODS: A systematic search was done in Cochrane, TRIP database, MEDLINE, NHS EED, NIHR HTA, CRD, Health star database, Pro Quest, Psycoinfo and Google Scholar to find randomized control trials, systematic reviews and HTA reports. The searched keywords were Green light laser (PVP or KTP) and prostate. The cost analysis was done by the perspective of society and providers. RESULTS: Complication rate in 12 included evidences ranged from 0-9.3%. The complication rate of TUR-P (Transurethral Resection of Prostate) was more than PVP. Changing in flow rate reducing residual urine, improving patients’ symptoms and QOL (Quality of life), and operative outcome length of operation varied from no significant to significant differences in favor of TURP. Unit cost in both social and provider view was significantly high in PVP in comparison with TURP. Increasing the number of patients did not change the cost analysis. CONCLUSION: PVP is a safe method for treatment of clinical BPH, but there is a lack of evidence for the evaluation of effectiveness. Overall, the unit cost for PVP was significantly more than TURP; for this reason this method could not be conducted in very wide indications, because of high cost.
机译：简介：前列腺绿光选择性汽化（PVP）是临床上良性前列腺增生的一种微创治疗方法，副作用少。这项研究的目的是评估PVP与经尿道前列腺切除术相比的安全性，有效性和成本分析。方法：在Cochrane，TRIP数据库，MEDLINE，NHS EED，NIHR HTA，CRD，Health star数据库，Pro Quest，Psycoinfo和Google Scholar中进行了系统搜索，以找到随机对照试验，系统评价和HTA报告。搜索的关键词是绿光激光（PVP或KTP）和前列腺。成本分析是从社会和提供者的角度进行的。结果：12例纳入的并发症发生率在0-9.3％之间。 TUR-P（经尿道前列腺电切术）的并发症发生率高于PVP。改变流速可减少残留尿液，改善患者的症状和生活质量（QOL），并且手术结局的手术时间长短无明显差异，而对TURP有明显差异。与TURP相比，PVP的社会成本和提供者成本均显着较高。病人人数的增加并没有改变费用分析。结论：PVP是治疗临床BPH的一种安全方法，但缺乏评估疗效的证据。总体而言，PVP的单位成本明显高于TURP;因此，由于成本高昂，无法在很宽的适应范围内进行此方法。

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