经尿道前列腺电切术与1470 nm半导体激光汽化术治疗前列腺增生的效果  

Effects of transurethral resection of prostate and 1470 nm diode laser in the treatment of prostatic hyperplasia

作　　者：阴正坤[1] 刘永胜[1] YIN Zhengkun;LIU Yongsheng.(Department of Urology, Banding Second Hospital, Baoding 071051,Hebei,China)

机构地区：[1]保定市第二医院泌尿科,河北保定071051

出　　处：《中国性科学》2019年第3期25-28,共4页Chinese Journal of Human Sexuality

摘　　要：目的探讨经尿道前列腺电切术与1470 nm半导体激光汽化术治疗前列腺增生的效果。方法选取2016年1月至2017年5月保定市第二医院诊治的100例前列腺增生患者作为研究对象。按随机数字表法将其分为研究组与对照组,研究组患者采用1470 nm半导体激光汽化技术治疗,对照组采用经尿道前列腺电切术治疗,比较两组患者手术时间、术中出血量、术后留置导管时间、血红蛋白及血钠下降值、术后住院时间、国际前列腺症状评分(IPSS)、残余尿量(RUV)和最大尿流率(Qmax),以及不良反应发生情况。结果研究组患者手术时间、术中出血量、术后留置导管时间、Hb及血钠下降值、术后住院时间均低于对照组,差异具有统计学意义(P<0.05)。治疗前RUV、Qmax及IPSS组间比较差异无统计学意义(P>0.05)。治疗后研究组IPSS及RUV低于对照组,Qmax高于对照组,差异具有统计学意义(P<0.05)。两组患者均有并发症发生,经对症治疗后均痊愈或缓解,其中研究组患者并发症发生率较对照组低(14%vs 32%),差异具有统计学意义(χ~2=4.574,P<0.05)。结论经尿道前列腺电切术与1470 nm半导体激光汽化术在前列腺增生中均有良好治疗效果,但1470 nm半导体激光汽化术创伤较小,术后康复快,有利于提高治疗效果,安全性良好。Objective To investigate the effects of transurethral resection of prostate and 1470 nm diode laser in the treatment of prostatic hyperplasia. Methods 100 patients with prostatic hyperplasia from January 2016 to May 2017 in Baoding Second Hospital were chosenand divided into control group and research group. The control group were treated with transurethral resection of prostate and research group were treated with 1470 nm diode laser. The operation time, intraoperative blood loss,indwelling catheter time after operation,hemoglobin and blood sodium drop, postoperative hospital stay,International Prostate Symptom Score(IPSS), residual urine volume(RUV) and maximum urinary flow rate(Qmax), and the incidence of adverse reactions between the two group were compared. Results The operation time, intraoperative blood loss,indwelling catheter time after operation,hemoglobin and blood sodium drop, postoperative hospital stay of research group were lower than those of the control group, all with statistically significant differences(P<0.05).Before treatment, differences in the RUV,Qmax and IPSS between the two groups were not statistically significant(P>0.05), while after treatmnt, the RUV and IPSS of research group were lower than those of the control group, and Qmax was higher than that of the control group, all with statistically significant differences(P<0.05). There were complications in the two groups and all were cured or relieved after symptomatic treatment. The incidence of complications in research group was lower than that in the control group(14% vs 32%), with statistically significant difference(χ~2=4.574,P<0.05).Conclusions Transurethral resection of prostate and 1470 nm diode laser both are effective in the treatment of prostatic hyperplasia,but 1470 nm diode laser causes less trauma with faster postoperative recovery, which is safe and conducive to improving the treatment effect.

关 键 词：前列腺增生 前列腺电切术 半导体激光汽化术 

分 类 号：R698[医药卫生—泌尿科学]