绿激光选择性汽化术与传统电切术对前列腺增生的治疗效果比较

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摘要 目的:比较绿激光选择性汽化术(PVP)与传统电切术(TURP)对前列腺增生的手术治疗效果。方法:对2012年6月至今行PVP手术80例患者及同期行TURP手术60例患者的术前一般情况,手术情况,术后最大尿流率(Q_max)、剩余尿(PVR)及国际前列腺症状评分(IPSS)指标进行分析比较。结果:两组患者术前一般情况各指标间均差异无统计学意义(P＞0.05)。两组平均手术时间、术后膀胱冲洗时间、术后尿管留置时间及术后住院时间相比较均具差异有统计学意义(P＜0.05)。两组患者术后1个月及3个月Q_max、PVR及IPSS指标均较术前明显改善,但术后两组上述各指标间差异无统计学意义(P＞0.05)。结论:PVP手术与TURP手术相比,安全可靠、疗效确切,临床应用前景广阔。

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关键词 ：前列腺增生, 绿激光选择性前列腺汽化术, 经尿道前列腺电切术, 安全, 疗效

Abstract：Objective:To evaluate the therapeutic efficacy between green laser photoselective vaporization of prostate (PVP) and traditional transurethral resection of the prostate (TURP). Methods:From June 2012 up to now, 80 patients received PVP operation and 60 patients received TURP operation in our urology clinic department. Pre-operation general conditions, data of the operations and post-operation indexes including Q_max, post-void residual, IPSS were compared between two groups. Results:There were no significant statistic difference between pre-operation conditions in two groups (P＞0.05). The mean operation time, bladder irrigation time, catheterization time and post-operation hospitalization time were all significant statistic different between two groups (P＜0.05). One month and three months after operation, we evaluated the Q_max, PVR, IPSS, and found that these indexes were significantly improved compared to pre-operation. However, there were no significant statistic difference about these indexed between two groups after operation. Conclusions:PVP operation is superior in safety and as efficacious as TURP and will have a wide clinical applications in future.

Key words： prostatic hyperplasia PVP TURP safety therapeutic efficacy

收稿日期: 2013-08-22

ZTFLH:

R697

通讯作者: 解吕中,geshenlin@sina.com

引用本文:

葛沈林, 朱建, 解吕中. 绿激光选择性汽化术与传统电切术对前列腺增生的治疗效果比较[J]. 微创泌尿外科杂志, 2013, 2(5): 340-343.
Ge Shenlin, Zhu Jian, Xie Lvzhong. The comparison of curative effect between green laser photoselective vaporization of the prostate and traditional transurethral resection of the prostate. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2013, 2(5): 340-343.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1065.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2013/V2/I5/340

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