巨大前列腺采用经尿道钬激光前列腺剜除术对比经尿道前列腺切除术的效果研究  

Effect Research of Holep for Giant Prostate Against TURP

作　　者：迟庆龙 张守利[1] CHI Qinglong;ZHANG Shouli(Urology Department,Jilin City Central Hospital,Jilin,Jilin,132001)

机构地区：[1]吉林市中心医院泌尿外科,吉林吉林132001

出　　处：《智慧健康》2022年第9期69-71,共3页Smart Healthcare

摘　　要：目的 研究巨大前列腺采用经尿道钬激光前列腺剜除术对比经尿道前列腺切除术的效果。方法 选取吉林市中心医院在2014年4月-2019年5月收治108例巨大前列腺患者,研究组患者采用TURP治疗,对照组患者采用HoLEP治疗。对比两组手术时间、术中出血量、切下组织质量、导尿管留置时间、术后30d的IPSS评分减少值及最大尿流率增加值、术后并发症发生情况。结果 两组术中出血量无显著差异(P>0.05),研究组手术时间及切下组织质量显著优于对照组(P<0.05)。两组导尿管留置时间、术后30d的IPSS评分减少值无显著差异(P>0.05),研究组术后30d最大尿流率增加值显著优于对照组(P<0.05)。两组术后再出血率及尿道狭窄率无显著差异(P>0.05),研究组尿失禁率显著高于对照组(P<0.05)。结论 巨大前列腺采用经尿道钬激光前列腺剜除术与经尿道前列腺切除术相比,其术式更为便捷,增生组织切除更为彻底,且可显著改善患者排尿质量,但术后尿失禁的风险高。Objective To study effect of HoLEP and TURP for giant prostate.Methods The paper chose 108 patients with giant prostate treated in our hospital from April 2014 to may 2019.Study group was treated with transurethral holmium laser enucleation of prostate (HoLEP),and control group with transurethral resection of prostate (TURP).Operation time,intraoperative bleeding,mass of cut tissue,indwelling time of urinary catheter,decrease of IPSS scores and increase of maximum urinary flow rate 30 days after operation,and postoperative complications incidence were compared between two groups.Results There was no significant difference in intraoperative bleeding amount between two groups (P>0.05).Operation time and cut tissue quality in study group was significantly better than control group (P<0.05).There was no significant difference in indwelling time of urinary catheter and IPSS scores decrease 30 days after operation between two groups (P>0.05).Increase of maximum urinary flow rate 30 days after operation in study group was significantly better than control group (P<0.05).There was no significant difference in postoperative rebleeding and urethral stricture rate between two groups (P>0.05).Urinary incontinence rate in study group was significantly higher than control group (P<0.05).Conclusion Compared with TURP,HoLEP is more convenient,with more complete resection of hyperplastic tissue,can improve quality of micturition significantly for giant prostate,but risk of postoperative urinary incontinence is high.

关 键 词：巨大前列腺 前列腺良性增生 HOLEP TURP 尿失禁 

分 类 号：R699.8[医药卫生—泌尿科学]