HoLEP与PKERP治疗良性前列腺增生患者的效果  

Effect of HoLEP and PKERP in the Treatment in Patients with Benign Prostatic Hyperplasia

作　　者：傅强[1] 赖载礼[1] 高金龙[1] 胡钊[1] 苏伟鹏 FU Qiang;LAI Zaili;GAO Jinlong;HU Zhao;SU Weipeng(Xiamen Hospital of Traditional Chinese Medicine,Xiamen 361001,China;不详)

机构地区：[1]厦门市中医院,福建厦门361001

出　　处：《中外医学研究》2022年第28期64-68,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:对比经尿道钬激光前列腺剜除术(HoLEP)与经尿道双极等离子前列腺剜除术(PKERP)治疗良性前列腺增生(BPH)患者的效果。方法:选取2019年5月-2020年5月厦门市中医院诊治的84例BPH患者。根据随机数字表法将其分为对照组及观察组,各42例。对照组给予PKERP治疗,观察组给予HoLEP治疗。比较两组围手术期指标,术前及术后3、6个月症状改善情况,术后6个月内并发症,术前、术后6个月相关指标、生活质量。结果:观察组组织切除量多于对照组,手术时间长于对照组,导尿管留置时间、膀胱冲洗时间、住院时间均短于对照组(P<0.05)。术后3、6个月观察组国际前列腺症状评分(IPSS)低于对照组(P<0.05)。观察组术后6个月内并发症发生率低于对照组(P<0.05)。术后6个月,观察组最大尿流率大于对照组,残余尿量明显少于对照组,前列腺特异性抗原水平明显低于对照组(P<0.05)。术后6个月,观察组躯体、心理、社会功能、物质生活及周围环境评分均高于对照组(P<0.05)。结论:HoLEP应用于BPH患者中,症状改善及临床效果均优于PKERP,能够改善症状、生活质量、膀胱功能。Objective:To compare the effect of trans-urethral holmium laser enucleation of prostate(HoLEP)and transurethral bipolar plasmakinetic enucleation and resection of the prostate(PKERP)in the treatment in patients with benign prostatic hyperplasia(BPH).Method:A total of 84 BPH patients diagnosed and treated in Xiamen Hospital of Traditional Chinese Medicine from May 2019 to May 2020 were selected.According to the random number table method,they were divided into control group and observation group,42 cases in each group.The control group was given the PKERP treatment and the observation group was given the HoLEP treatment.The perioperative indicators,symptom improvement condition before operation and 3,6 months after operation,complications within 6 months after operation,relevant indicators,quality of life before and 6 months after operation were compared between the two groups.Result:The amount of tissue resection in the observation group was more than that in the control group,the operation time was longer than that in the control group,the retention time of urinary catheter,the time of bladder flushing and the hospitalization time were shorter than those in the control group(P<0.05).The international prostate symptom score(IPSS)of the observation group was lower than that of the control group 3 and 6 months after operation(P<0.05).The incidence of complications in the observation group within 6 months after operation was lower than that in the control group(P<0.05).Six months after operation,the maximum urine flow rate of the observation group was greater than that of the control group,the residual urine volume was significantly less than that of the control group,and the level of prostate specific antigen was significantly lower than that of the control group(P<0.05).Six months after operation,the scores of physical,psychological,social functions,material life and surrounding environment in the observation group were higher than those in the control group(P<0.05).Conclusion:HoLEP is better than PKERP in symptom

关 键 词：良性前列腺增生 经尿道钬激光前列腺剜除术 并发症 生活质量 

分 类 号：R699.8[医药卫生—泌尿科学]