经尿道2μm激光前列腺剥离术与经尿道2μm激光前列腺剜除术治疗前列腺增生的比较  

Comparison of the transurethral prostate decollement and enucleation with 2μm laser versus for the treatment of benign prostatic hyperplasia

作　　者：郭和清[1] 刘红明[1] 周高标[1] 孙斌[1] 潘广新[1] 李建业[1] 邢继章[1] 李迪[1] 洪泉[1] 

机构地区：[1]空军总医院泌尿外科,北京100142

出　　处：《现代泌尿生殖肿瘤杂志》2014年第2期82-85,共4页Journal of Contemporary Urologic and Reproductive Oncology

基　　金：北京市科委攻关课题(Z090507017709031)

摘　　要：目的通过与经尿道2μm激光前列腺剜除术相比较,评估经尿道2μm激光前列腺剥离术治疗前列腺增生的疗效和安全性。方法随机采用经尿道2μm激光前列腺剥离术或经尿道2μm激光前列腺剜除术治疗168例前列腺增生患者,比较两种手术方式的相关临床指标。结果术前两组患者一般情况比较差异无统计学意义(P>0.05)。剥离术组切除前列腺(19.96±13.57)g,剜除术组切除前列腺(17.04±11.8)g;剥离术组的手术时间(100.7±27.8)min略大于剜除术组(97.89±40.3)min(P=0.101);剥离术组的术中出血量(10.8±7.42)ml小于剜除术组(22.73±10.9)ml,两组间比较差异有统计学意义(P<0.05);国际前列腺症状评分、生活质量评分及最大尿流率术后均有明显改善(P<0.01)。结论经尿道2μm激光前列腺剥离术与经尿道2μm激光前列腺剜除术相比,有相同的近期疗效,具有良好的止血效果,而且操作较容易,更利于推广实施,能显著降低手术风险,是治疗前列腺增生的一种新的安全、有效的微创手术方式。Objective To compare the treatment effects of transurethral prostate decollement and enucleation with 2μm laser for benign prostatic hyperplasia （BPH）. Methods One hundred and sixty-eight cases of BPH were divided into two groups randomly and underwent transurethral prostate decollement or enucleation with 2μm laser .In decollement technology group,the mean age of patients was （72.95±5.56）years,and mean prostatic volume was （59.93±20.9）ml.In enucleation technology group,the mean age of patients was （74.02±3.32）years,and mean prostatic volume was （57.82±28.17）ml.The significant markers and therapeutic results were analyzed. Results There was no significant difference between the two groups in preoperative clinical factors （P〉0.05）.No tran-surethral decollement syndrome was observed,and no blood transfusions were needed during opera-tion.The operation time of decollement technology group （97.89±40.3）min was not significant shorter than that in enucleation technology group with 2μm laser （100.7±27.8）（P=0.101）.There were significant differences for blood loss during operation between decollement technology group （22.73±10.9）ml and enucleation technology group （10.8±7.42）ml （P〈0.01）.The IPSS,QOL and Qmax were improved significantly after operation in both groups （P〈0.05）,but no significant differences had been noted with different procedure （P〉0.05）. Conclusions The transurethral prostate decollement with 2μm laser has the same early efficacy as well as the transurethral prostate enucleation with 2 μm laser,and has the same blood loss.The transurethral prostate decollement with 2μm laser is a safe and effective minimally invasive treatment for BPH.

关 键 词：2ΜM激光 剥离术 剜除术 前列腺增生 

分 类 号：R699[医药卫生—泌尿科学]