经尿道绿激光前列腺汽化切割术在前列腺增生中的应用研究  

Application of Transurethral Green Laser Prostate Vaporization Cutting in Benign Prostatic Hyperplasia

作　　者：冯振华[1] 黄强[1] 彭业平[1] FENG Zhenhua;HUANG Qiang;PENG Yeping(The People’s Hospital of Gaozhou,Gaozhou 525200,China;不详)

机构地区：[1]广东省高州市人民医院,广东高州525200

出　　处：《中国医学创新》2020年第13期7-11,共5页Medical Innovation of China

基　　金：茂名市科技计划项目(2017088)。

摘　　要：目的:探讨分析经尿道绿激光前列腺汽化切割术在前列腺增生中的应用效果。方法:回顾性分析2017年1月-2019年8月本院收治的174例前列腺增生患者的临床治疗资料,根据术式分为观察组和对照组,观察组给予经尿道绿激光前列腺汽化切割术(PVP)治疗,对照组给予经尿道前列腺等离子汽化电切术(TUPKVP)治疗,比较两组围手术期指标,两组治疗前后国际前列腺症状评分(international prostate symptom score,IPSS)、生活质量评分(quality of life,QOL)、最大尿流率(Qmax)及国际勃起功能问卷-5(5-item version of the international index of erectile function,IIEF-5)评分,治疗后射精情况及术后并发症发生情况。结果:观察组手术时间、膀胱冲洗时间、住院时间均较对照组显著缩短,术中出血量较对照组显著减少,差异均有统计学意义(P<0.05)。两组留置导尿管时间比较,差异无统计学意义(P>0.05)。两组治疗前IPSS、QOL评分及Qmax比较,差异均无统计学意义(P>0.05)。与治疗前比较,两组治疗后IPSS、QOL评分均显著降低,Qmax显著提高,差异均有统计学意义(P<0.05),但两组治疗后IPSS、QOL评分及Qmax比较,差异均无统计学意义(P>0.05)。治疗前,两组IIFE-5评分比较,差异无统计学意义(P>0.05);两组治疗后IIFE-5评分均下降,但观察组IIFE-5评分下幅度较小,差异均有统计学意义(P<0.05)。治疗后,两组射精量减少、逆行射精、并发症发生率比较,差异均无统计学意义(P>0.05)。结论:经尿道绿激光PVP治疗前列腺增生症状改善、生活质量改善及术后并发症发生方面与TUPKVP治疗的患者相当,但其可缩短手术时间、减少术中出血量,促进患者术后恢复,维持患者勃起功能水平,值得在临床上推广。Objective: To investigate the application effect of transurethral green laser prostate vaporization(PVP) in prostate hyperplasia. Method: The clinical treatment data of 174 patients with benign prostatic hyperplasia from January 2017 to August 2019 were retrospectively analyzed, according to the operation methods, the patients were divided into observation group and the control group. The observation group was treated with transurethral green laser PVP, the control group was treated with transurethral prostate plasma vaporization(TUPKVP). The perioperative indicators, the scores of international prostate symptom score(IPSS), quality of life(QOL), Qmax and 5-item version of the international index of erectile function(IIEF-5) before and after treatment, ejaculation after treatment and postoperative complications of two groups were compared. Result: The operation time, bladder irrigation time and hospitalization time of the observation group were significantly shorter than those of the control group, the intraoperative blood loss was significantly lower than that of the control group, the differences were statistically significant(P<0.05). There was no significant difference in the indwelling catheterization time between the two groups(P>0.05). There were no significant differences in the scores of IPSS, QOL and Qmax between two groups before treatment(P>0.05). Compared with before treatment, the scores of IPSS and QOL were significantly lower and the Qmax were significantly increased after treatment, there were significant differences(P<0.05), but there were no significant differences in IPSS, QOL scores and Qmax between two groups after treatment(P>0.05). There was no significant difference in IIFE-5 score between two groups before treatment(P>0.05). After treatment,the IIFE-5 scores of the two groups decreased, but the IIFE-5 scores of the observation group decreased less, the differences were statistically significant(P<0.05). After treatment, compared the ejaculation volume, retrograde ejaculation, incidence o

关 键 词：经尿道绿激光前列腺汽化切割术 经尿道前列腺等离子汽化电切术 前列腺增生 

分 类 号：R699.8[医药卫生—泌尿科学]