绿激光前列腺汽化切除术和选择性绿激光前列腺汽化术治疗良性前列腺增生的效果比较  

Comparison of effects of photoselective vaporesection of the prostate and photoselective vaporization of the prostate on benign prostatic hyperplasia

作　　者：邱晓东[1] 杨占峰 杨营利[1] Qiu Xiaodong;Yang Zhanfeng;Yang Yingli(Department of Urology Surgery,the First People’s Hospital of Shangqiu,Shangqiu 476000,China)

机构地区：[1]河南省商丘市第一人民医院泌尿外科,476000

出　　处：《中国实用医刊》2020年第1期47-50,共4页Chinese Journal of Practical Medicine

摘　　要：目的 比较绿激光前列腺汽化切除术(PVRP)和选择性绿激光前列腺汽化术(PVP)治疗良性前列腺增生的效果.方法 对2015年9月至2018年9月商丘市第一人民医院收治的227例良性前列腺增生患者的病历资料进行回顾性分析,其中122例实施PVRP治疗(纳入PVRP组),105例实施PVP治疗(纳入PVP组).比较两组患者手术及恢复情况(手术时间、术中出血量、尿管留置时间、术后膀胱冲洗时间),术前、术后6个月随访时残余尿量(PVR)、最大尿流量(Qmax)、国际前列腺症状评分(IPSS)、生活质量(QOL)评分变化以及术后6个月的并发症发生率.结果 两组患者术中出血量、术后导尿管留置时间、术后膀胱冲洗时间比较差异均未见统计学意义(P均>0.05);PVRP组手术时间为(49.35±16.07)min,少于PVP组的(75.58±18.21)min(P<0.05).术后6个月,两组患者PVR、IPSS评分、QOL评分均较术前降低(P均<0.05),Qmax均较术前升高(P均<0.05),但两组术后比较差异未见统计学意义(P>0.05).术后6个月内PVRP组患者尿路刺激症发生率为5.74%(7/122),低于PVP组的14.29%(15/105),P<0.05;PVRP组急性尿潴留、膀胱颈口挛缩、尿道狭窄、压力性尿失禁、继发出血的发生率低于PVP组,但两组比较差异未见统计学意义(P>0.05).结论 PVRP、PVP治疗良性前列腺增生均有理想效果,PVRP安全性相对更高,且手术更为快捷.Objective To compare the effects of photoselective vaporesection of the prostate(PVRP)and photoselective vaporization of the prostate(PVP)on benign prostatic hyperplasia.Methods The clinical data of 227 patients with benign prostatic hyperplasia treated in the First People’s Hospital of Shangqiu from September 2015 to September 2018 were retrospectively analyzed.Among them,122 patients were treated by PVRP(PVRP group)and 105 patients were treated by PVP(PVP group).The operation and recovery condition,such as operative time,intraoperative blood loss,postoperative urethral catheter indwelling time,postoperative bladder irrigation time,were compared between the two groups.Changes of post-voiding residual(PVR),maximum urine flow(Qmax),international prostate symptom scale(IPSS),quality of life(QOL)score before operation and 6 months after operation,and the occurrence of complications within 6 months after operation were compared between the two groups.Results There were no significant differences in intraoperative blood loss,postoperative urethral catheter indwelling time or postoperative bladder irrigation time between the two groups(all P>0.05).And the operative time in PVRP group was(49.35±16.07)min,less than(75.58±18.21)min in PVP group(P<0.05).The PVR,IPSS score and QOL score in the two groups were decreased 6 months after operation,compared with levels of these indexes(all P<0.05),and Qmax was increased after operation(P<0.05).However,there were no statistically significant differences in the any of above indexes between the two groups after operation(P>0.05).The incidence of urinary tract irritation in PVRP group was 5.74%(7/122),lower than the 14.29%(15/105)in PVP group within 6 months after operation(P<0.05).The incidences of acute urinary retention,bladder neck contracture,urethral stricture,stress urinary incontinence and secondary bleeding in PVRP group were lower than those in PVP group,but there was no significant difference between the two groups(P>0.05).Conclusions Both PVRP and PVP have ideal ther

关 键 词：前列腺增生 绿激光前列腺汽化切除术 选择性绿激光前列腺汽化术 

分 类 号：R699[医药卫生—泌尿科学]