摘要
目的探讨经尿道红激光剜除术治疗巨大前列腺增生的疗效。方法160例巨大前列腺增生(体积>80 ml)患者,采用随机数字表法分为对照组和研究组,每组80例。对照组患者采用经尿道前列腺电切术治疗,研究组患者开展经尿道红激光剜除术治疗。比较两组患者手术指标、症状评分、最大尿流率、残余尿量、术后并发症发生情况。结果研究组患者手术时间(58.32±6.02)min、住院时间(6.23±1.02)d短于对照组的(70.57±7.21)min、(7.88±1.06)d,术中出血量(166.11±8.22)ml少于对照组的(319.21±7.21)ml(P<0.05)。术前、术后3个月,两组患者国际前列腺症状评分表(IPSS)评分、最大尿流率、残余尿量比较差异不明显(P>0.05);术后3个月,两组患者IPSS评分、最大尿流率、残余尿量均较本组治疗前改善(P<0.05)。研究组患者术后并发症发生率为1.25%,低于对照组的11.25%(P<0.05)。结论采用经尿道红激光剜除术对巨大前列腺增生患者进行治疗,相比传统的经尿道前列腺电切术疗效更好,创伤性更小,安全系数更高,术后恢复更快,并发症更少。
Objective To explore the efficacy of transurethral red laser enucleation for giant prostatic hyperplasia.Methods 160 patients with giant prostatic hyperplasia(volume>80 ml)were divided into a control group and a study group using randomized numerical table method,each consisting of 80 patients.The control group performed transurethral resection of prostate,and the study group performed transurethral red laser enucleation.The surgical indicators,symptom scores,maximum urinary flow rate,residual urine volume,and postoperative complications were compared between the two groups.Results The study group had operation time of(58.32±6.02)min and hospital stay of(6.23±1.02)d,which were shorter than(70.57±7.21)min and(7.88±1.06)d in the control group;the intraoperative blood loss was(166.11±8.22)ml in the study group,which was less than(319.21±7.21)m in the control group(P<0.05).There were no significant differences in International Prostate Symptom Score(IPSS),maximum urinary flow rate and residual urine volume between the two groups before and 3 months after surgery(P>0.05).At 3 months after surgery,IPSS score,maximum urinary flow rate and residual urine volume in both groups were improved compared with those before treatment(P<0.05).The incidence of postoperative complications in the study group was 1.25%,which was lower than 11.25%in the control group(P<0.05).Conclusion Transurethral red laser enucleation has better efficacy,less traumatic,higher safety factor,faster postoperative recovery and less complications than traditional transurethral resection of prostate.
作者
唐保力
程健
TANG Bao-li;CHENG Jian(Tai'an Hospital of Traditional Chinese Medicine,Tai'an 271000,China)
出处
《中国实用医药》
2024年第14期25-28,共4页
China Practical Medicine
关键词
经尿道红激光剜除术
巨大前列腺增生
疗效
分析
Transurethral red laser enucleation
Giant prostatic hyperplasia
Efficacy
Analysis
