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三种经尿道术式治疗良性前列腺增生的疗效观察 被引量：6

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摘要 目的比较经尿道前列腺电气化术(TVP)、前列腺选择性光气化术(PVP)及前列腺选择性光气化术联合电气化术(PVP+TVP)3种手术方法治疗良性前列腺增生(BPH)的疗效和安全性。方法分别采用TVP、PVP、PVP+TVP 3种方式治疗BPH患者1008例。术前3组国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)、剩余尿量(PVR)比较差异均无统计学意义(P>0.05)。比较3组患者手术前后血清电解质和血红蛋白的变化、手术时间、术后尿管留置时间、术后并发症发生率。术后3个月随访IPSS、QOL、Qmax及PVR等。结果 TVP、PVP、PVP+TVP各组平均手术时间分别为(52.41±7.66)min、(55.97±9.24)min和(54.32±8.98)min,组间比较(P>0.05)。3组患者手术前后平均血清Na+的减少分别为(6.31±2.44)mmol/L、(0.87±0.70)mmol/L和(4.57±1.90)mmol/L,手术前后平均血红蛋白浓度的减少分别为:(15.28±5.31)g/L、(3.39±1.19)g/L和(8.78±2.97)g/L,组间比较(P<0.05);术后平均留置尿管时间为(4.68±0.90)d(、2.65±0.84)d和(3.48±0.89)d,组间比较(P<0.05);并发症发生率为7.02%、2.84%和4.49%,组间比较(P<0.05)。术后3个月随访,3组IPSS、QOL、Qmax、PVR均较术前显著改善(P<0.05)。结论 3种手术方法均有良好的疗效,与TVP相比,PVP及PVP+TVP治疗BPH,出血少、恢复快、并发症少、安全性高,临床上应根据不同的情况选择不同手术方法,以获得更好的临床疗效。
作者 刘晓龙 单玉喜 薛波新 阳东荣 高洁
机构地区 苏州大学附属第二医院泌尿外科
出处 《江苏医药》 CAS CSCD 北大核心 2011年第5期587-589,共3页 Jiangsu Medical Journal
关键词 良性前列腺增生 经尿道前列腺电气化术 前列腺选择性光气化术
分类号 R697 [医药卫生—泌尿科学]
  • 相关文献

参考文献10

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共引文献65

同被引文献45

  • 1夏术阶,张沂南,鲁军,孙晓文,张捷,朱轶勇,李维国.铥激光“剥橘”式切除术治疗良性前列腺增生症[J].中华医学杂志,2005,85(45):3225-3228. 被引量：96
  • 2单玉喜,薛波新,崔勇,高洁,阳东荣,孙传洋,王文炯.绿激光光气化术治疗良性前列腺增生[J].江苏医药,2006,32(6):516-518. 被引量：15
  • 3单玉喜,薛波新,崔勇,高洁,阳东荣,孙传洋,王文炯,陶伟.选择性绿激光汽化术治疗70岁以上老年人良性前列腺增生症临床分析[J].中华老年医学杂志,2006,25(11):821-823. 被引量：13
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引证文献6

二级引证文献17

江苏医药
2011年 第5期

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