摘要
目的 评价开放性手术 (OP)、经尿道电汽化切割 (TUEVAP)和组织间激光消融 (ILC)治疗良性前列腺增生 (BPH)的疗效。 方法 BPH患者 2 82例 ,根据治疗方法分为OP(98例 )、TUEVAP(91例 )和ILC(93例 ) 3组 ,比较各组的手术时间、术中出血量、疗效及并发症等情况。 结果 OP组平均手术操作时间、术中出血量最多 ,ILC组最少。 3组术后主、客观症状均明显改善 ,OP组与TUE VAP组IPSS和Qmax的改善程度优于ILC组 (P <0 .0 5 )。OP、TUEVAP和ILC组平均留置导尿时间分别为 185、76和 36 2h ,术后即刻并发症 (住院期 )发生率分别为 2 8.9%、16 .7%、14 .8% ,再手术率分别为 1.0 %、6 .6 %、16 .1%。 结论 OP组疗效最佳 ,但手术创伤大 ;TUEVAP组疗效与OP组接近 ,创伤较OP组小 ;ILC组疗效最差 ,但创伤最小。
Objective To evaluate and compare the therapeutic effects of the open prostatectomy(OP)?transurethral electrovaporization ablation prostatectomy (TUEVAP) and interstitial laser coagulation(ILC) for the treatments of symptomatic BPH. Methods 282 symptomatic BPH patients randomly underwent OP (n=98)?TUEVAP(n=91) or ILC(n=93) respectively and the therapeutic effects were evaluated. Results There are significant improvements in symptoms and physical signs in each group after the procedure.The average catheterization time following OP?TUEVAP and ILC was 185 h?76 h and 362 h,the immediate morbidity rate being 28.9%?16.7%? 14.8 % and the retreatment rate 1.0%?6.6% and 16.1% respectively. OP group showed the longest average operative time and the most blood loss both of which were the least in ILC group. Conclusions OP is the most effective of the three procedures, but the trauma to the patient is the most.The therapeutic effect of TUEVAP is similar to OP's,with less injure.ILC is the easiest and safest procedure with the least side effects.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2002年第3期171-173,共3页
Chinese Journal of Urology
