2μm激光汽化切割术与经尿道前列腺汽化电切除术治疗良性前列腺增生疗效比较

A comparative study on 2μm continuous wave laser vaporesection of the prostate and transurethral electrovaporization resection of prostate for the treatment of BPH

  • 摘要: 目的: 比较经尿道2μm激光汽化切割术与前列腺汽化电切除术(TUVP)治疗良性前列腺增生症(BPH)的安全性及疗效。方法: 随机采用2μm激光与TUVP两种手术方式治疗BPH153例,对两组疗效进行比较。结果: 两组手术前后国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)比较均得到显著改善(P<0.05),但两组之间症状改善无显著性差异(P>0.05)。TUVP组手术时间平均(37.2±15.4)min,2μm激光组则为平均(44.1±26.8)min,TUVP手术操作时间短于2μm激光组,但差异无显著性(P>0.05)。2μm激光组术中出血量少、拔除尿管早优于TUVP组(P<0.05)。随访术后6月两组前列腺症状评分及最大尿流率疗效相同。TUVP组术后血尿明显(41.4%),需膀胱冲洗。结论:2μm激光汽化切割术是一种手术过程非常安全、并发症少、能达到与TUVP完全相同的治疗效果的手术方式。

     

    Abstract: Ojbective: To compare the therapeutic effects of the 2μm continuous wave laser vaporesection of prostate and transurethral electrovaporization resection of prostate(TUVP) for the treatments of symtomatic benign prostatic hyperplasia(BPH).Methods: 153 cases of BPH were treated with 2μm continuous wave laser vaporesection and TUVP.All patients were followed up.Results: international prostatic symptom score(IPSS),quality of life(QOL) and(Qmax) were significantly improved after both of the procedures and therapeutic results(P<0.05);no significant difference in the improvement of subjective symptoms and Ojbective signs had been noted with the different procedured(P>0.05).Mean operative time was(37.2±15.4)min for TUVP and(44.1±26.8)min for 2μm group,The resection time was longer for 2μm group than TUVP(P>0.05),but the interoperative bleeding and catheterization time were less in 2μm group than TUVP(P<0.05).Postoperative complications were less in 2μm group than TUVP(P<0.05).The incideased of heamatouria in TUVP group had been 41.4%.Conclusions: 2μm continuous wave laser vaporesection has the same therapeutic effect as TUVP and less adverse side effects than TUVP;it is a newly technology for the treatment symptomatic BPH.

     

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