经尿道前列腺等离子切除术与绿激光剜除术治疗良性前列腺增生的疗效对比  

Clinical effect of transurethral plasmakinetic resection and green laser enucleation in treatment of benign prostatic hyperplasia

作　　者：李剑军[1] 陈统权 党永辉[1] 黄星华[1] 吴上超 朱斌[2] LI Jianjun;CHEN Tongquan;DANG Yonghui;HUANG Xinghua;WU Shangchao;ZHU Bin(Department of Urology,Longgang District People＇ s Hospital,Shenzhen 518000,Guangdong,China;Department of Urology,Pingshan New District People＇ s Hospital,Shenzhen 518118,Guangdong,China)

机构地区：[1]深圳市龙岗区人民医院泌尿外科,广东深圳518000 [2]深圳市坪山新区人民医院泌尿外科,广东深圳518118

出　　处：《中国性科学》2018年第5期16-18,共3页Chinese Journal of Human Sexuality

基　　金：广东省医学科学技术研究基金项目(A2015572)

摘　　要：目的:比较经尿道前列腺等离子切除术与绿激光剜除术治疗良性前列腺增生的疗效。方法:选择2014年10月至2016年10月深圳市龙岗区人民医院收治的160例良性前列腺增生患者,将其随机分为两组,对照组采用经尿道前列腺等离子切除术治疗,观察组采用经绿激光剜除术治疗,比较两组疗效。结果:观察组住院时间为(4.7±1.5)d、膀胱冲洗时间为(23.4±5.3)h、留置尿管时间为(24.8±2.6)h,均显著低于对照组相关指标(均P<0.05);观察组术后最大尿流率(Qmax)(18.9±2.4)ml/s,显著高于对照组,国际前列腺症状评分(IPSS)(5.1±1.2)分,生活质量评分(QOL)(1.1±0.2)分,均显著低于对照组相关指标(均P<0.05);观察组并发症发生率显著低于对照组(P<0.05)。结论:良性前列腺增生患者采用绿激光剜除术治疗,可以有效改善临床症状,提高生活质量,控制并发症发生。Objective： To probe into and compare the clinical effects of transurethral plasmakinetic resection and green laser enucleation in treatment of benign prostatic hyperplasia（ BPH）. Methods： 160 patients with BPH in Longgang District People＇s Hospital from October 2014 to October 2016 were selected,and randomly divided into two groups. The control group was treated with transurethral plasmakinetic resection of prostate,while the observation group was treated with green laser enucleation. The clinical effects of the two groups were compared. Results： In the observation group,the hospitalization time was（ 4. 7 ± 1. 5） d,bladder irrigation time was（ 23. 4 ± 5. 3） h,the time of indwelling catheter was（ 24. 8 ± 2. 6） h,which were significantly lower than those of the control group（ P〈0.05）. The Qmax in the observation group was（ 18. 9 ± 2. 4） ml/s,which was significantly higher than that in the control group,and the IPSS and QOL was（ 5. 1 ± 1. 2） and（ 1. 1 ± 0. 2） points respectively,which were significantly lower than those in the control group（ P〈0. 05）. The incidence of complications in the observation group was significantly lower than that in the control group（ P〈0. 05）. Conclusions： Green laser enucleation treatment can effectively improve the clinical symptoms and the quality of life of patients with BPH and control the occurrence of complications.

关 键 词：等离子切除术 绿激光剜除术 良性前列腺增生 生活质量 

分 类 号：R699.8[医药卫生—泌尿科学]