经尿道前列腺电切术和铥激光剜除术治疗良性前列腺增生的早期尿控分析

doi:10.19558/j.cnki.10-1020/r.2022.03.010

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摘要 目的: 比较分析经尿道前列腺电切除术（TURP）和经尿道铥激光前列腺剜除术(ThuLEP)两种术式术后早期尿控情况。方法: 采用回顾性研究,入组2021年1月至12月北京大学第一医院泌尿外科收治的前列腺增生患者44例,根据手术方式分为TURP组15例和ThuLEP组29例。比较两组患者围手术期指标和尿控情况。结果: TURP组和ThuLEP组排尿和尿控状况（IPSS, QOL和ICIQ-MLUT）与术前比较均有明显改善,差异有统计学意义（P<0.05）。与ThuLEP组比较,TURP组患者术后1个月时尿控情况优于ThuLEP组,差异有统计学意义(Z=-2.255, P=0.024),但术后6个月时,两组之间尿控情况不存在统计学差异。结论: TURP和ThuLEP的疗效和安全性相当。ThuLEP早期尿失禁发生概率高于TURP,但术后6个月时两组患者均没有尿失禁发生。

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	车新艳
	于书慧
	王为
	刘梓薇
	陈凯月
	黄燕波
	李志存
	肖云翔
	张凯
	孟一森

关键词 ：前列腺增生, 经尿道前列腺切除术, 铥激光, 前列腺剜除术

Abstract：Objective: To compare the early urinary control of thulium laser enucleation of prostate （ThuLEP） vs. transurethral resection of prostate （TURP）. Methods: A retrospective study was conducted on 44 patients with benign prostatic hyperplasia（BPH） admitted to the Department of Urology, Peking University First Hospital from January to December 2021. The patients were divided into TURP group （n=15） and ThuLEP group （n=29）. Perioperative indicators and urinary control indicators were compared between the two groups. Results: Urination and urinary control （IPSS, QOLand ICIQ-MLUT） were significantly improved in TURP and ThuLEP groups after surgery, with statistically significant difference （P<0.05）. The improvement of urinary continence in TURP group was better than that in ThuLEP group, and the difference was statistically significant （Z=-2.255, P=0.024） at 1st month after surgery, but no significant difference was seen at 6 month after surgery. Conclusion: TURP and ThuLEP have similar efficacy and safety. The incidence of early urinary incontinence in ThuLEP was higher than that in TURP. At 6th month postoperatively, no urinary incontinence occurred in either group.

Key words： benign prostatic hyperplasia transurethral resection of prostate thulium laser enucleation of the prostate

收稿日期: 2021-12-08

通讯作者: 孟一森, mgyss@qq.com。^??共同第一作者

引用本文:

车新艳, 于书慧, 王为, 刘梓薇, 陈凯月, 黄燕波, 李志存, 肖云翔, 张凯, 孟一森. 经尿道前列腺电切术和铥激光剜除术治疗良性前列腺增生的早期尿控分析[J]. 微创泌尿外科杂志, 2022, 11(3): 194-198.
Che Xinyan, Yu Shuhui, Wang Wei, Liu Ziwei, Chen Kaiyue, Huang Yanbo, Li Zhicun, Xiao Yunxiang, Zhang Kai, Meng Yisen. Early urinary control of thulium laser enucleation and transurethral resection for benign prostatic hyperplasia. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2022, 11(3): 194-198.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1774.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2022/V11/I3/194

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