摘要
目的比较前列腺增生(BPH)患者行经尿道钬激光前列腺剜除术(HoLEP)与经尿道前列腺电切术(TURP)治疗的效果。方法对赤峰市医院泌尿外科2013年6月至2015年6月,84例前列腺增生患者(HoLEP组42例,TURP组42例)进行回顾性研究,比较两组患者治疗前后(术后3个月)国际前列腺症状(IPSS)评分、最大尿流率(MFR)、残余尿量(RUV)、生活质量(QOL)评分。术中出血量、手术时间,留置尿管时间、术后膀胱冲洗时间、住院天数等,以及术中、术后并发症发生情况。结果两组患者年龄、前列腺体积、病程两组无统计学差异(P>0.05)。术前及术后IPSS、MFR、RUV、QOL评分均无统计学差异(P>0.05)。HoLEP组术中出血量、留置尿管时间、术后膀胱冲洗时间、术后并发症发生率均低于TURP组(P<0.05)。结论对于BPH患者,TURP和HoLEP治疗疗效相当,但对于手术安全性,手术并发症的控制,HoLEP术较TURP术有较多优势,对该类患者应优先选择HoLEP术。
Objective To compare the efficacy of holmium laser enucleation of the prostate（HoLEP）and transurethral resection of prostate（TURP）for benign prostatic hyperplasia（BPH）patients.MethodsA total of 84 patients with BPH were enrolled in Chifeng city hospital from June 2013 to June 2015,42 cases underwent HoLEP and 42 cases underwent TURP.pre-and post-operative international prostate symptom score,maximum flow rate（MFR）residual urine volume（RUV）,and quality of life（QOL）were compared between groups.intraoperative blood loss,operative time,time of postoperative foley＇s catheter retention,bladder irrigation time,days in hospital,hemo-sodium concentration of postoperation,complications of operation.Results There were no significant differences between HoLEP and TURP group in age,prostate volume,pain duration,pre-and post-operative IPSS、MFR、RUV、QOL（P〉0.05）.blood loss in operation,of postoperative foley＇S catheter retention,bladder irrigation time,complications were less in HoLEP group compared with the TURP group（P〈0.05）.Conclusion Both surgical procedures are efficient for the patients with BPH patients.However,HoLEP has more advantages.So HoLEP is a better choice for BPH patients.
出处
《内蒙古医学杂志》
2016年第2期154-156,共3页
Inner Mongolia Medical Journal
关键词
前列腺增生
钬激光前列腺剜除术
经尿道前列腺电切术
benign prostatic hyperplasia
holmium laser enucleation of the prostate
transurethral resection of the prostate
