摘要
目的探讨经尿道前列腺等离子切除术(TUPKRP)与经尿道选择性绿激光前列腺汽化术(PVP)治疗良性前列腺增生症(BPH)的效果。方法选择2017年1月—2020年3月安徽省马鞍山市中心医院收治的80例BPH患者,根据随机数字表法分为观察组和对照组,每组40例。观察组使用PVP治疗,对照组使用TUPKRP治疗。比较两组围术期情况、排尿情况、前列腺体积、国际前列腺症状评分(IPSS)、生活质量(QOL)评分及并发症发生率。结果观察组术中出血量少于对照组,手术时间、术后膀胱冲洗时间、术后导尿管留置时间及住院时间均短于对照组,差异有统计学意义(P<0.05)。术后3个月,两组最大尿流率大于术前,残余尿量少于术前,前列腺体积小于术前,差异有统计学意义(P<0.05)。术后3个月,两组IPSS及QOL评分均低于术前,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论TUPKRP和PVP治疗BPH的效果相近,但PVP损伤更小,术后恢复更快,且并发症发生率更低,值得应用推广。
Objective To study the efficacy of transurethral plasmakinetic resection of prostate(TUPKRP)and transurethral selective green laser vaporization of prostate(PVP)in the treatment of benign prostatic hyperplasia(BPH).Methods Eighty patients with BPH admitted to Ma’anshan Central Hospital of Anhui Province from January 2017 to March 2020 were selected and divided into observation group and control group according to random number table method,40 cases in each group.Observation group was treated with PVP,and control group was treated with TUPKRP.The perioperative situation,urination,prostate volume,international prostate symptom score(IPSS),quality of life(QOL)score and the incidence rate of complication were compared between two groups.Results The intraoperative blood loss of observation group was less than that of control group,and operation time,postoperative bladder irrigation time,postoperative catheter indwelling time and hospitalization time of observation group were shorter than those of control group,the differences were statistically significant(P<0.05).At three months after operation,the maximum urinary flow rate of two groups was larger than that before operation,the residual urine volume was less than that before operation,and the prostate volume was less than that before operation(P<0.05).At three months after operation,IPSS and QOL scores of two groups were lower than those before operation,and the differences were statistically significant(P<0.05).Total incidence rate of complication in observation group was lower than that in control group(P<0.05).Conclusion TUPKRP and PVP have similar efficacy in the treatment of BPH,but PVP has less injury,faster postoperative recovery and lower incidence rate of complication,which is worthy for application and promotion.
作者
何海兵
齐平
汪浩
HE Haibing;QI Ping;WANG Hao(Department of Urology,Ma’anshan Central Hospital of Anhui,Anhui Province,Ma’anshan 246000,China)
出处
《中国医药导报》
CAS
2021年第3期75-78,共4页
China Medical Herald
关键词
良性前列腺增生症
经尿道前列腺等离子切除术
经尿道选择性绿激光前列腺汽化术
疗效
并发症
Benign prostatic hyperplasia
Transurethral plasmakinetic resection of prostate
Transurethral selective green laser vaporization of prostate
Efficacy
Complication
