摘要
目的比较三种不同手术方式治疗良性前列腺增生(BPH)的效果。方法选取2017年1月至2020年1月本院收治的150例BPH患者作为研究对象,依据随机数字法将其分为三组,H组、P组、T组,每组50例。H组采用经尿道钬激光前列腺剜除术(HoLEP)、P组采用经尿道等离子电切镜前列腺剜除术(PKEP)、T组采用经尿道前列腺电切术(TURP),比较三组术中、术后以及随访各指标。结果三组中,H组手术时间最长,但尿管留置时间最短、住院天数最少,且血红蛋白(HB)下降值明显均较P组、T组低,差异均有统计学意义(均P<0.05);与术前相比,三组术后3个月国际前列腺症状评分(IPSS)均明显降低,生活质量评分(QOL)、最大尿流率(Qmax)均明显增高,且H组IPSS评分均较P组、T组下降显著,QOL评分、Qmax均较P组、T组明显增高,差异均有统计学意义(均P<0.05);H组并发症发生率最低、P组次之、T组最高,三组间比较差异有统计学意义(P<0.05)。结论与PKEP、TURP相比,HoLEP手术所需时间最长,但术后恢复更快,且IPSS、QOL、Qmax改善情况最佳,并发症发生风险最低,建议临床优先选择。
Objective To compare the effects of three different surgical methods in the treatment of benign prostatic hyperplasia(BPH).Methods A total of 150 patients with BPH who were admitted and treated in our hospital during the period from January 2017 to January 2020 were selected as the study subjects.They were divided into group H,group P,and group T by the random number table method,with 50 patients in each group.Group H was treated with holmium laser enucleation of the prostate(HoLEP),group P was treated with plasma kinetic enucleation of the prostate(PKEP),and group T was treated with transurethral resection of the prostate(TURP).Indexes in the 3 groups were compared before operation,after operation,and during follow-up.Results The operation time of group H was the longest,but the catheter indwelling time and length of hospital stay were the shortest.Besides,the decrease in hemoglobin(Hb)in group H was more significant than that in group P and group T(all P<0.05).Three months after operation,the international prostate symptom scores(IPSS)of the 3 groups were decreased significantly,while quality of life(QOL)scores and the maximum flow rate(Qmax)were significantly increased,the decrease in IPSS and the increase in QOL score and Qmax in group H were more significant than those in group P and group T(all P<0.05).The incidence of complications was the lowest in group H,followed by group P,and the highest in group T(P<0.05).Conclusion Compared with PKEP and TURP,HoLEP takes the longest time.However,patients recover faster after HoLEP,and the improvement of IPSS, QOL, and Qmax are the best, with lowest risk of complications, which should beapplied as the priority in clinical practice.
作者
崔占武
Cui Zhanwu(Department of Urology,Lingcheng District Hospital of Traditional Chinese Medicine,Dezhou 253500,China)
出处
《国际医药卫生导报》
2020年第23期3663-3666,共4页
International Medicine and Health Guidance News
关键词
良性前列腺增生
钬激光
等离子电切镜前列腺剜除术
电切术
Benign prostatic hyperplasia
Holmium laser
Plasma kinetic enucleation of the prostate
Electronic incision
