[1]田进军,李 军,杨震宇,等.钬激光前列腺剜除术与传统TURP疗效及并发症比较[J].医学信息,2019,32(18):75-77.[doi:10.3969/j.issn.1006-1959.2019.18.023]
　TIAN Jin-jun,LI Jun,YANG Zhen-yu,et al.Comparison of Krypton Laser Prostatectomy and Traditional TURP Efficacy and Complications[J].Journal of Medical Information,2019,32(18):75-77.[doi:10.3969/j.issn.1006-1959.2019.18.023]
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钬激光前列腺剜除术与传统TURP疗效及并发症比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年18期
页码:
75-77
栏目:
论著
出版日期:
2019-09-15

文章信息/Info

Title:
Comparison of Krypton Laser Prostatectomy and Traditional TURP Efficacy and Complications
文章编号:
1006-1959（2019）18-0075-03
作者:
田进军; 李 军; 杨震宇; 顾 斌
上海市浦东新区人民医院泌尿外科，上海 201200
Author(s):
TIAN Jin-jun; LI Jun; YANG Zhen-yu; GU Bin
Department of Urology,Shanghai Pudong New Area People's Hospital,Shanghai 201200,China
关键词:
前列腺增生; 钬激光前列腺切除术; 前列腺电切术
Keywords:
Key words：Prostatic hyperplasia; Holmium laser prostatectomy; Prostate resection
分类号:
R699.8
DOI:
10.3969/j.issn.1006-1959.2019.18.023
文献标志码:
A
摘要:
目的 比较钬激光前列腺剜除术（HoLEP）与经尿道前列腺电切术（TURP）治疗良性前列腺增生（BPH）的疗效和并发症。方法 选择2015年6月~2019年6月我院收治的BPH患者78例，采用随机数字表分组方法分为HoLEP组37例和TURP组41例。TURP组采用常规步骤切除增生前列腺组织，HoLEP组采用钬激光前列腺剜除术。比较两组手术前后国际前列腺症状评分（IPSS）、生活质量评分（QOL）、残余尿量（PVR）、最大尿流率（Qmax）等指标变化及并发症发生情况。结果 HoLEP组手术时间长于TURP组（P＜0.05）；导尿管留置时间、术后住院天数短于（P＜0.01）。TURP组血清钠、血红蛋白均较术前降低（P＜0.01）。术后1个月、6个月、1年2组患者IPSS、QOL、Qmax、PVR均较术前显著改善（P＜0.01）。术后随访HoLEP组的近期及远期并发症少于TURP组（P＜0.01）。结论 HoLEP治疗BPH疗效和TURP相似，HoLEP切割精准、手术视野清晰，出血和并发症更少。
Abstract:
Abstract：Objective To compare the efficacy and complications of holmium laser enucleation (HoLEP) and transurethral resection of prostate (TURP) in the treatment of benign prostatic hyperplasia (BPH).Methods 78 patients with BPH admitted to our hospital from June 2015 to June 2019 were enrolled. The patients were divided into HoLEP group (37 cases) and TURP group (41 cases) by random number table. The TURP group used conventional procedures to remove prostatic hyperplasia, and the HoLEP group underwent holmium laser enucleation. The changes of international prostate symptom score (IPSS), quality of life score (QOL), residual urine volume (PVR), and maximum urinary flow rate (Qmax) before and after surgery were compared between the two groups. Results The operation time of the HoLEP group was longer than that of the TURP group(P<0.05); the catheter indwelling time and the postoperative hospital stay was shorter than the TURP group(P<0.01). Serum sodium and hemoglobin in the TURP group were lower than those before surgery(P<0.01). The IPSS, QOL, Qmax and PVR of the patients at 1 month, 6 months and 1 year were significantly improved compared with those before operation (P<0.01). The short-term and long-term complications of the HoLEP group were lower than those of the TURP group, and the statistical significance was significant (P<0.01). Conclusion The efficacy of HoLEP in the treatment of BPH is similar to that of TURP. HoLEP has precise cutting, clear surgical field, and less bleeding and complications.

参考文献/References:

[1]邹琪.经尿道前列腺电切术治疗前列腺增生所致尿路梗阻的效果观察[J].当代医学,2018,24(21):168-170. [2]王忠,陈其,陈彦博.钬激光前列腺剜除术--前列腺增生手术金标准新的挑战者[J].中国男科学杂志,2013(5):3-5. [3]王志民,赵文波,孙朝晖,等.TURP与HoLEP治疗高龄BPH的临床疗效比较[J].临床合理用药杂志,2015(25):154-155. [4]程冬,马成民,马克,等.TURP术后继发性出血的危险因素Logistic回归分析[J].微创泌尿外科杂志,2015(5):292-294. [5]夏术阶,张沂南,鲁军,等.铥激光"剥橘"式切除术治疗BPH症[J].中华医学杂志,2005,85(45):3225-3228． [6]谷猛,蔡志康,陈其,等.钬激光剜除治疗BPH的新方法--6点隧道法[J].中华男科学杂志,2015(2):132-135. [7]刘可,肖春雷,马潞林.钬激光前列腺剜除术治疗BPH的自学学习曲线[J].中国微创外科杂志,2016(1):31-34. [8]Elmansy HM,Kotb A,Elhilali MM.Holmium laser enucleation of the prostate:long-term durability of clinical outcomes and complication rates during 10 years of followup[J].J Urol,2011,5(5):1972-1976. [9]镇樱树.经尿道前列腺等离子电切术与钬激光剜除术治疗 BPH 的创伤程度比较[J].海南医学院学报,2016(14):1553-1556. [10]洪昭展.经尿道前列腺钬激光剜除术治疗良性前列腺增生的效果分析[J].河南医学研究,2018,27(3):445-446. [11]李海皓,王海峰,刘靖宇,等.术中主动保护尿控功能在经尿道前列腺钬激光剜除术中的应用疗效分析[J].临床泌尿外科杂志,2017,32(4):260-263.

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更新日期/Last Update: 2019-09-15