摘要
目的分析小功率钬激光前列腺剜除术治疗良性前列腺增生的效果。方法该次研究回顾性分析了该院在2016年11月—2018年9月期间收治的110例良性前列腺在增生患者的病例资料,依据手术差异进行分组,一组给与小功率钬激光前列腺剜除术,为实验组,一组给与经尿道前列腺电切术,为对照组,比较两组患者的治疗效果。结果实验组患者切除标本重量为(36.2±2.6)g,血清Na^+为(140.8±5.8)mmol/L,手术时间为(90.5±16.2)min,术中出血量为(82.5±11.6)mL,术后冲洗时间为(1.1±0.4)d,尿管留置时间为(1.4±0.6)d,住院时间为(3.7±1.1)d,各项数据与对照组比较差异有统计学意义(t=8.176、7.722、3.425、19.010、21.246、9.939、11.844,P<0.05);实验组并发症发生率为5%(3/60),较对照组的20%(10例)更低,数据差异有统计学意义(χ^2=5.888 2,P<0.05);实验组患者Qmax为(11.5±2.7)mL/s,IPSS评分为(16.9±3.2)分,QOL评分为(1.8±0.8)分,PAS为(1.3±0.2)μg/L,各项数据与对照组比较差异无统计学意义(t=0.499、0.803、0.729、1.217,P>0.05)。结论小功率钬激光前列腺剜除术治疗良性前列腺增生疗效显著,预后效果佳,与经尿道前列腺电切术治疗效果相当,虽然手术时间更长,但患者术后恢复更快,并发症较少,安全性更高,建议在临床中推广使用。
Objective To analyze the effect of low power holmium laser enucleation for benign prostatic hyperplasia. Methods This study retrospectively analyzed the medical records of 110 patients with benign prostatic hyperplasia admitted to our hospital from November 2016 to September 2018. Grouped according to surgical differences, one group was given a low power holmium laser prostate. Excision surgery, for the experimental group, a group of transurethral resection of the prostate, for the control group, comparing the treatment effect of the two groups of patients. Results The weight of the specimens in the experimental group was (36.2±2.6) g, the serum Na^+ was (140.8±5.8)mmol/L, the operation time was (90.5±16.2)min, and the intraoperative blood loss was (82.5±11.6)mL, postoperative lavage time was (1.1±0.4)d, catheter indwelling time was (1.4±0.6)d, hospitalization time was (3.7±1.1)d, and the data were statistically significant compared with the control group(t=8.176,7.722,3.425,19.010,21.246,9.939,11.841,P<0.05);the complication rate of the experimental group was 5%(3/60), which was lower than 20%(10 cases) of the control group. Statistical significance (χ^2=5.888 2,P<0.05);Qmax of the experimental group was (11.5±2.7)mL/s, IPSS score was (16.9±3.2)points, QOL score was (1.8±0.8)points, PAS For (1.3±0.2)μg/L, there was no statistically significant difference between the data and the control group (t=0.499、0.804,0.729,1.214, P>0.05). Conclusion Low-power holmium laser enucleation for the treatment of benign prostatic hyperplasia has a significant effect on prognosis. It has the same effect as transurethral resection of the prostate. Although the operation time is longer, the patient recovers faster and has fewer complications, with higher security, it is recommended to promote the use in the clinic.
作者
崔同芳
陶志兴
李立宇
孙琼
王波
骆八强
朱华平
CUI Tong-fang;TAO Zhi-xing;LI Li-yu;SUN Qiong;WANG Bo;LUO Ba-qiang;ZHU Hua-ping(Department of Urology,Second People's Hospital of Qujing,Qujing,Yunnan Province,655000 China)
出处
《世界复合医学》
2019年第8期87-89,共3页
World Journal of Complex Medicine
关键词
小功率钬激光前列腺剜除术
良性前列腺增生
经尿道前列腺电切术
综合疗效
Low power holmium laser prostate removal surgery
Benign prostatic hyperplasia
Transurethral resection of prostate
Comprehensive efficacy
