经尿道前列腺等离子剜除术与前列腺钬激光剜除术的近期疗效比较  

Comparison of Short-term Efficacy between Transurethral Plasmakinetic Enucleation and Holmium Laser Enucleation in the Treatment of Benign Prostatic Hyperplasia

作　　者：汪洋[1] 李志鹏[1] 蔡潜 张黄成昊 叶春伟[1] 和术臣[1] 

机构地区：[1]昆明医科大学第二附属医院泌尿二病区,云南昆明650101

出　　处：《昆明医科大学学报》2016年第3期52-56,共5页Journal of Kunming Medical University

基　　金：云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目(2014FB058)

摘　　要：目的比较经尿道前列腺等离子剜除术(transurethral plasmakinetic enucleation of prostate,PKEP)和前列腺钬激光剜除术(holmium laser enucleation of prostate,Ho LEP)治疗良性前列腺增生症(BPH)的近期疗效.方法将90例BPH患者随机分为2组,分别行PKEP(45例)和Ho LEP(45例)监测、记录2组患者围手术期和术后6个月复查指标,比较2组指标并进行统计学分析.结果 2组术前一般情况比较差异无统计学意义(P>0.05);Ho LEP组手术时间长于PKEP组,但在术中出血量、术后膀胱冲洗时间、留管时间及住院时间方面,显著少于PKEP组(P<0.01);术后6个月2组残余尿量(PVR)、国际前列腺症状评分(IPSS)、最大尿流率(Qmax)和生活质量评分(QOL)均比术前有明显改善(P<0.01),但2组间比较差异无统计学意义(P>0.05);Ho LEP组总的并发症少于PKEP组,差异有统计学意义(P<0.05).结论 Ho LEP与PKEP治疗BPH的近期疗效相似,但前者安全性更高、并发症更少,值得推广应用.Objective To compare the clinical efficacy between transurethral plasmakinetic enucleation of prostate（PKEP） and holmium laser enucleation of the prostate（Ho LEP） in the treatment of benign prostatic hyperplasia（BPH）. Methods 90 patients who were diagnosed BPH were randomly and equally divided into PKEP group and Ho LEP group. The perioperative and postoperative indexes after 6 months were recorded and analyzed. Results There were no significance differences in preoperative factors between the two groups（P〈0.05）. The operative time in Ho LEP group was longer than that in PKEP group, but the incidence of hemorrhage,the mean bladder irrigating time, catheter indwelling time and hospital stay time in Ho LEP were significant shorter or less than those in PKEP（P〈0.01）. After 6 months,PVR,IPSS,Qmax and QOL were both significantly improved（P〈0.01）, but the differences between the two groups were not significant（P〉0.05）. The complications in Ho LEP were less than those in PKEP（P〈0.05）. Conclusion Ho LEP and PKEP have the same short-term curative effect in the treatment of BPH, but the former is more security with fewer complications. Ho LEP is worthy of widely application.

关 键 词：良性前列腺增生 钬激光 前列腺等离子剜除术 

分 类 号：R697.32[医药卫生—泌尿科学]