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经尿道选择性绿激光汽化术与电切术治疗前列腺增生的价值比较 被引量:4

The value comparison between green laser photoselective vaporization of prostate and electrocision for benign prostatic enlargement
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摘要 目的探讨经尿道选择性绿激光前列腺汽化术(PVP)治疗前列腺增生的安全性和疗效以及与经尿道前列腺电切术(TURP)相比的优势。方法对我院2003年10月—2007年9月行经尿道选择性绿激光汽化术患者75例(PVP组)及同期行经尿道前列腺电切术(TURP组,对照组)患者53例的临床资料(年龄,病程、术前IPSS、术前最大尿流率,术前残余尿、前列腺质量)、手术情况(手术时间,术后输血,术后尿管留置时间,术后住院时间)、疗效(术后最大尿流率,术后IPSS)等指标进行比较分析。结果两组年龄、病程、术前IPSS评分、术前最大尿流率、术前残余尿量等项指标之间的差异均无统计学意义(P>0.05)。PVP组前列腺质量(60.715±30.253)g,小于TURP组的(71.580±28.914)g(P=0.012 9)。两组手术后的IPSS以及最大尿流率较术前明显改善(P<0.01);而两组内手术前后的IPSS及最大尿流率比较,差异无统计学意义(P>0.05)。平均手术时间、术后输血、术后尿管留置时间、术后住院时间两组比较差异有统计学意义(P<0.05或P<0.01)。结论经尿道选择性绿激光汽化技术安全、疗效可靠,与传统的电切手术相比具有明显的优势,临床应用前景广阔。 Objective To investigate the safety,curative effect and advantages of green laser photoselective vaporization of prostate(PVP) compared to transurethral resection of the prostate(TURP).Methods From October 2003 to September 2007,PVP and TURP were performed in 75 and 53 cases respectively.All the patients were divided into 2 groups according to operation: group PVP(n=75) and group TURP(n=53).The indexes were compared including age,time of disease,IPSS of pre-operation,Qmax of pre-operation,the volume of residual urine,the weight of prostate,operation time,blood transfusion post-operation,ureter time,hospital stay,Qmax of post-operation and IPSS of post-operation.Results There were no statistic difference of the age of patients,time of disease,IPSS pre-operation,Qmax pre-operation and the volume of residual urine between the two groups(P〉0.05).The prostate of group PVP was(60.715±30.253)g,that was significantly lower than group TURP [(71.580±28.914)g,P=0.0129].IPSS and Qmax post-operation in both two groups were significantly improved comparing with pre-operation(P0.05).there was no statistic difference of operation time,blood transfusion,ureter time,hospital stay post-operation between the two groups(P〈0.01).Conclusion PVP is safe and effective enough to cure benign prostatic enlargement.And PVP has some advantages which TURP has not.
出处 《临床军医杂志》 CAS 2012年第1期64-66,共3页 Clinical Journal of Medical Officers
关键词 前列腺增生 经尿道手术 电切术 绿激光汽化术 benign prostatic enlargement transurethral operation electrocision green laser photoselective vaporization of prostate
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参考文献9

  • 1鹿尔驯,关维民.前列腺激光外科进展[J].中华泌尿外科杂志,2005,26(1):68-70. 被引量:21
  • 2Costello AJ,Bowsher WG,Bolton DM,et al.Laser ablation of theprostate in patients with benign prostatic hypertrophy[J].Br JUrol,1992,69:603-608.
  • 3王战强,彭艳霞,刘萃龙,郭建军,徐利泉,杜志清.绿激光前列腺汽化术治疗BPH60例报告[J].临床泌尿外科杂志,2006,21(3):199-200. 被引量:10
  • 4Sandhu JS,Vanderbrink BA,Steven AK,et al.High-power KTPphotoselective laser vaporizalion prostatectomy for the treatment ofBPH in men with large prostates[J].J Urol,2003,169:393.
  • 5徐月敏,张炯,金重睿,撒应龙,张心如,陈嵘,谢弘,李涛,司捷旻.KTP激光汽化术治疗良性前列腺增生[J].中华泌尿外科杂志,2004,25(9):631-633. 被引量:85
  • 6裴振东.绿激光治疗前列腺增生50例报告[J].黑龙江医学,2004,28(11):849-850. 被引量:17
  • 7Malek RS,Rochester MN,Kuntzman RS,et al.Photoselective va-porization of the prostate:5-year experience with high power KTPlaser[J].J Urol,2003,169:390.
  • 8Alexis E Te,Terrance RM,Barry SS,et al.Photoselective laser va-porization of the prostate(PVP)for treatment of BPH:the firstmulti-center prospective trial[J].J Urol,2003,169:465.
  • 9Malek BS,Juntzman RS,Barren DM.High power potassium-tita-nyl-phosphate lasser vaporization prostatectomy[J].J Urol,2000,163(6):1730-1733.

二级参考文献25

  • 1徐月敏,张炯,金重睿,撒应龙,张心如,陈嵘,谢弘,李涛,司捷旻.KTP激光汽化术治疗良性前列腺增生[J].中华泌尿外科杂志,2004,25(9):631-633. 被引量:85
  • 2裴振东.绿激光治疗前列腺增生50例报告[J].黑龙江医学,2004,28(11):849-850. 被引量:17
  • 3洪宝发,蔡伟,符伟军,杨勇,王威,陈耀富,展洁,张翠娥,李炎唐,崔胜堂.选择性绿激光汽化术治疗良性前列腺增生的临床研究[J].中华泌尿外科杂志,2005,26(1):17-19. 被引量:90
  • 4[1]Kuntzman R S, Malek P S, Brett D M, et al.High - power(60 - watts) potassium - titanyl - phosphate laser vaporization prostatectomy in living canines and in human and canine cadaves[J]. Adult Urol, 1977,49:703~ 708.
  • 5[3]Sandhu J S, Ng C A, Gonzalez R, et al . HighHigh- power KTP Photoselective laser vaporization prostatectomy in man with largeprostative: the New YorkPresbyterian series of 64 patients [J]. J Urol, 2004,171 (suppl) :400.
  • 6Kuntzman RS, Malek RS, Barett DM, et al. High-power (60-Watts)potassium-titanyl-phosphate laser vaporization prostatectomy in living canines and in human and canine cadaves. Adult Urol, 1997,49:703-708.
  • 7Te AE, Sandhu JS,Celester Egan RG,et al. High-power KTP photoselective laser vaporization prostatectomy (PVP) versus transurethral electrovaporization of the prostate (TVP) for the treatment of benign prostatic hyperplasia(BPH) :a prospective comparative
  • 8Sandhu JS,Ng CA,Gonzalez R,et al. High-power KTP photoselective laser vaporization prostatectomy in man with large prostative:the New York Presbyterian series of 64 patients. J Urol,2004,171 (suppl):400.
  • 9Te AE:The development of laser prostatectomy. Br J Urol Int,2004,93:262-265.
  • 10Kuntzman R S,Malek R S,Barett D M,et al. High power (60 Watts)potassium titanyl phosphate laser vaporization prostatectomy in living canines and in human and canine cadaves[J]. Adult Urol, 1997,49:703 -708.

共引文献110

同被引文献30

  • 1郁正亚.围手术期抗凝药物的使用[J].中华临床医师杂志(电子版),2011,5(16):4778-4783. 被引量:12
  • 2鹿尔驯,关维民.前列腺激光外科进展[J].中华泌尿外科杂志,2005,26(1):68-70. 被引量:21
  • 3王战强,彭艳霞,刘萃龙,郭建军,徐利泉,杜志清.绿激光前列腺汽化术治疗BPH60例报告[J].临床泌尿外科杂志,2006,21(3):199-200. 被引量:10
  • 4Douketis JD, Johnson JA, Turpie AG. Low-molecularweight-heparin as bridging anticoagulation during interruption of warfarin: assess- ment of a standardized periprocedural anticoagulation regimen [ J ]. Arch Intern Med, 2004, 164(22) :1319-1326.
  • 5Douketis JD, Berger PB, Dunn AS, et al. The perioperative man- agement of antithrombotic therapy : American College of Chest Physi- cians Evidence-Based Clinical Practice Guidelines (8th Edition) [J]. Chest, 2008,133(6) :299-339.
  • 6Gogarten W, Vandermeulen E, Van Aken H, et al. Regional anaes- thesia and antithrombotic agents: recommendations of the European Society of Anaesthesiology[ J]. Eur J Anaesthesiol, 2010, 27:999- 1015.
  • 7Lekas AG, Lazaris AC, Chrisofos M, et al. Finasteride effects on hypoxia and angiogenetic markers in benign prostatic hyperplasia [J]. Urology, 2006, 68(2) :436-441.
  • 8Lund L, Ernst-Jensen KM, Tcrring N, et al. Impact of finasteride treatment on perioperative bleeding before transurethral resection of the prostate : a prospective randomized study [ J ]. Scand J UrolNeph- rol, 2005, 39(2) :160-162.
  • 9Eken A,Soyupak B,Acil M.et al.Safety,efficacy and outcomes of the new Green Light XPS 180W laser system compared to the Green Light HPS 120W system for the treatment of benign prostatic hyperplasia in a prospective nonrandomized single-centre study. Canadian Urological Association Journal . 2015
  • 10Pawan V,Anup K,Niraj K.Safety and efficacy of photoselective vaporization of prostate in patients receiving anticoagulants. Minerva Urologica e Nefrologica . 2013

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