980 nm红激光两点内切开及气化电切术治疗膀胱颈挛缩研究  

Clinical research of 980nm red laser incision within 2 points and vaporization electrocision in treating contracture of bladder neck

作　　者：张言[1] 唐振 韦正树 吴明贵[1] 范永毅[1] 赵芬芬 ZHANG Yan;TANG Zhen;WEI Zheng-shu(Department of Urology Surgery,Department of Liuzhou Worker’s Hospital,Guangxi Liuzhou 545005,China;不详)

机构地区：[1]柳州市工人医院泌尿外科,广西柳州545005

出　　处：《中国医学装备》2022年第1期104-107,共4页China Medical Equipment

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20190813)“经尿道980 nm红激光两点内切开及气化电切术治疗膀胱痉挛缩的临床研究”。

摘　　要：目的:探讨980 nm红激光两点内切开及气化电切术治疗膀胱颈挛缩的临床疗效。方法:择医院收治的经尿道前列腺电切术后发生膀胱颈挛缩的40例患者,根据治疗方案的不同将其分为观察组和对照组,每组20例。观察组给予980 nm红激光两点内切开及气化电切术,对照组给予双极等离子两点内切开及气化电切术。比较两组手术时间、术中出血量、住院时间以及住院期间并发症发生率;统计并比较两组患者术前、术后3个月时的最大尿流量(Q_(max))、国际前列腺症状评分(IPSS)、生活质量(QOL)评分以及排泄后残留尿量(PVR)。结果:观察组患者的手术时间明显短于对照组,术中出血量明显少于对照组,住院时间明显短于对照组,差异均有统计学意义(t=16.026,t=6.697,t=9.862;P<0.05)。两组术后住院期间并发症发生率比较,差异无统计学意义。治疗后两组IPSS、QOL及PVR水平均低于治疗前,Q_(max)高于治疗前,差异有统计学意义(t_(观察组)=28.246,t=30.071,t=30.902,t=40.937;t_(对照组)=26.612,t=27.147,t=30.121,t=40.505;P<0.05)。治疗后观察组IPSS、QOL及PVR水平均低于对照组,Q_(max)高于对照组,差异有统计学意义(t=3.075,t=5.035,t=3.022,t=3.064;P<0.05)。结论:980 nm红激光两点内切开及气化电切术治疗前列腺切除术后膀胱颈痉挛,在改善患者临床症状和生活质量方面均有显著的优势。Objective:To investigate the clinical efficacy of 980nm red laser incision within 2 points and vaporization electrocision in treating contracture of bladder neck.Methods:40 patients with contracture of bladder neck post transurethral electrocision for prostate who admitted to hospital were selected,and they were divided into observation group(n=20)and control group(n=20)according to different therapeutic schedule.The observation group underwent the 980nm red laser incision within 2 points and vaporization electrocision,and control group underwent the bipolar plasma incision within 2 points and vaporization electrocision.The operation time,intraoperative bleeding volume,length of stay as well as the incidence of complication during length of stay between two groups were compared.The maximum urinary flow rates(Q_(max)),the values of International Prostate Symptom Score(IPSS),quality of life(QOL)scores and postvoid residual urine volume(PVR)of two groups between before surgery and 3 months after surgery were statistically analyzed and compared.Results:Compared with control group,the operation time,intraoperative bleeding volume and length of stay of observation group were significantly reduced(t=16.026,t=6.697,t=9.862,P<0.05).During hospitalization,the difference of incidence of postoperative complication between two groups was not significant.The levels of IPSS,QOL and PVR of two groups after treatment were significantly lower than those before treatment,while the Q_(max) after treatment was significantly higher than that before treatment(t_(observation group)=28.246,t=30.071,t=30.902,t=40.937,t_(control group)=26.612,t=27.147,t=30.121,t=40.505,P<0.05).After treatment,the levels of IPSS,QOL and PVR of observation group were significantly lower than those of control group,and the Q_(max) level of observation group was significantly higher than that of control group After treatment,the levels of IPSS,QOL and PVR in the two groups were significantly lower than those before treatment,and Q_(max) was significantly highe

关 键 词：980 nm红激光 两点内切开及气化电切术 膀胱颈痉挛 双极等离子 

分 类 号：R454.2[医药卫生—治疗学]