直出式绿激光汽化切除术与侧出式绿激光汽化切除术治疗良性前列腺增生的疗效比较

doi:10.19558/j.cnki.10-1020/r.2020.05.013

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摘要 目的：观察比较直出式绿激光汽化切除术（PVRP）与传统侧出式绿激光汽化切除术（PVP）治疗良性前列腺增生(BPH)的临床疗效。方法：回顾性分析2017年1月–2019年5月接受绿激光治疗的164例BPH患者资料,其中86例接受PVRP手术(PVRP组),78例接受PVP手术(PVP组)。比较两组手术相关指标和术后并发症发生情况,以及手术前后的国际前列腺症状评分（IPSS）、生活质量评分（QOL）、剩余尿量（PVR）和最大尿流率（Q_max）。结果：PVRP组手术时间明显少于PVP组（P<0.05）;两组患者术中出血量、留置导尿管时间、膀胱冲洗时间差异无统计学意义（P>0.05）;两组患者术后IPSS、QOL、Q_max均较术前明显改善（P<0.05）,两组间差异无统计学意义（P>0.05）;无输血及二次手术病例,术后尿失禁等并发症发生率低。结论：采用PVRP和PVP治疗BPH均安全可靠、疗效确切,而PVRP在手术效率上更具优势,临床应用前景广阔。

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	李小鑫
	朱建
	鞠建
	解吕中

关键词 ：良性前列腺增生, 直出式绿激光汽化切除术, 侧出式绿激光汽化切除术

Abstract：Objective： To compare the efficacy of straight light greenlight photoselective vaporesection of the prostate （PVRP） and side light green laser vaporization of prostate （PVP） for benign prostatic hyperplasia （BPH）. Methods： From January 2017 to May 2019, the clinical data of 164 patients with BPH treated surgically were retrospectively reviewed, including 86 patients in PVRP group undergoing straight light photoselective vaporesection of the prostate and 78 patients in PVP group undergoing side light green laser vaporization of prostate. Clinical data were compared between the two groups, including the surgical indicators and complications after operation, as well as the International Prostate Symptom Score （IPSS）, quality of life （QOL）, postvoid residual urine （PVR） and maximum urinary flow rate （Q_max）. Results： The operation time was significantly shorter in RPVP group. There were no significant differences in blood loss, bladder irrigation time and indwelling catheter time after operation between two groups. After operation, the Qmax, IPSS, QOL and PVR were significantly improved as compared with those preoperation （P < 0.05）. But there was no significant difference between two groups after operation （P > 0.05）. All patients had no blood transfusion or reoperation, and the incidence of urinary incontinence was low. Conclusions： PVRP and PVP are safe and efficient procedures for the treatment of BPH. PVRP has the advantages of shorter operation time, and it is worthy of clinical application.

Key words： benign prostatic hyperplasia straight light photoselective vaporesection of the prostate side light green laser vaporization of prostate

收稿日期: 2020-01-05

ZTFLH:

R697

基金资助:南通市卫健委科研项目（WKZL2018042）; 南通市科技局科研项目（MSZ18213）

通讯作者: 解吕中,xielvzhong@163.com

引用本文:

李小鑫, 朱建, 鞠建, 解吕中. 直出式绿激光汽化切除术与侧出式绿激光汽化切除术治疗良性前列腺增生的疗效比较[J]. 微创泌尿外科杂志, 2020, 9(5): 352-355.
LI Xiaoxin, ZHU Jian, JU Jian, XIE Lyuzhong. Efficacy of straight greenlight photoselective vaporesection of prostate vs. side light green laser vaporization of prostate in treatment of benign prostatic hyperplasia. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2020, 9(5): 352-355.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1627.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2020/V9/I5/352

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