摘要
目的比较经尿道选择性绿激光前列腺汽化术(PVP)与前列腺汽化电切除术(TUVP)治疗良性前列腺增生(BPH)的安全性及疗效。方法随机采用 PVP 与 TUVP 两种手术方式治疗BPH 患者163例,其中 PVP 组105例,TUVP 组58例。对两组患者的国际前列腺症状评分(IPSS)、生活质量评分(QOL)、术中出血量、手术时间、冲洗液清亮时间、留置尿管时间、最大尿流率、术后并发症等进行比较。结果两组手术前后 IPSS、QOL、Qmax、剩余尿量(RUV)比较均显著改善(P<0.05),但两组之间症状改善差异无统计学意义(P>0.05)。TUVP 组手术时间平均(37±15)min,PVP 组则为平均(45±28)min,TUVP 手术操作时间少于 PVP,但差异无统计学意义(P>0.05)。PVP 组术中出血量少、拔除尿管早,优于 TUVP 组(P<0.05)。术后随访6个月两组前列腺症状评分及最大尿流率疗效相同。TUVP 组术后血尿明显(41.4%),需膀胱冲洗,而 PVP 术后尿路刺激症状明显(55.2%,P<0.05)。结论 PVP 手术是一种手术过程非常安全、并发症少,能达到与 TUVP 完全相同治疗效果的手术方式。
Objective To compare the therapeutic effects of the greenlight photoselective vaporization of prostate （PVP） and transurethral electrovaporization resection of prostate （TUVP） for the treatment of symtomatic benign prostatic hyperplasia （BPH）. Methods One hundred and sixty-three cases of BPH were treated with PVP and TUVP. All patients were followed up with International Prostatic Symptom Score （IPSS）, quality of life （QOL）, blood loss, operative time, indwelling catheterization, mean Qmax, residual urinary volume （RUV） and operative complications. Results IPSS, QOL, Qmax and RUV were significantly improved after either of the procedures （ P 〈 0.05 ） , no significant difference in the improvement of subjective symptoms and objective signs had been noted with the different procedure （ P 〉 0. 05 ）. Mean operative time was （37 ±15） min for TUVP and （45±28） min for PVP, the resection time was longer for PVP than TUVP （P 〉 0. 05 ）, but the intraoperative bleeding and catheterization time were less for PVP than TUVP （P 〈0. 05）. Postoperative complications were less for PVP than TUVP （P 〈0. 05）. The incidence of heamatouria in TUVP group had been 4l. 4%, and urinary irritation after PVP group was 55.2% （ P 〈 0. 05 ）. Conclusions PVP has the same therapeutic effect as TUVP and less adverse side effects than TUVP. It is a new technique for the treatment symptomatic BPH.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2007年第14期951-953,共3页
Chinese Journal of Surgery
关键词
前列腺增生
病例对照研究
经尿道前列腺切除术
前列腺汽化电切除术
Prostatic hyperplasia
Case-control studies
Transurethral resection of prostate
Transurethral electrovaporization resection of prostate
