绿激光前列腺汽化切除术治疗高龄高危良性前列腺增生的效果观察  

Effectiveness of Green Laser Vaporization Prostatectomy for High-risk Benign Prostatic Hyperplasia in Advanced Age

作　　者：张志忠 ZHANG Zhi-zhong(Department of UrologyⅡ,Jiamusi Central Hospital,Jiamusi,Heilongjiang,154002,China)

机构地区：[1]佳木斯市中心医院泌外二部,黑龙江佳木斯154002

出　　处：《黑龙江医学》2023年第5期540-542,546,共4页Heilongjiang Medical Journal

摘　　要：目的:探讨绿激光前列腺汽化切除术(PVRP)治疗高龄高危良性前列腺增生(BPH)的效果及对患者尿动力学的影响。方法:选取2019年1月—2020年1月佳木斯市中心医院泌尿外科收治的64例高龄高危BPH患者作为研究对象,按照随机数表法将其分为两组,每组各32例。对照组采用经尿道前列腺电切术(TURP),观察组采用PVRP,比较两组患者手术时间、术中出血量、术后膀胱冲洗时间、术后住院时间、并发症、血清前列腺特异抗原(PSA)、国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)、压力—流率值(A-G)、残余尿量(RV)。结果:观察组术后膀胱冲洗时间短于对照组,差异有统计学意义(t=10.153,P<0.05);术后,观察组尿频、尿痛、尿潴留、尿急、电切综合征发生率低于对照组,差异有统计学意义(t=7.630、7.053、9.143、6.564、4.267,P<0.05);术后,两组患者血清PSA、IPSS评分、QOL评分比术前下降,且观察组低于对照组,差异有统计学意义(t=9.975、8.899、15.125,P<0.05);术后3个月,两组患者Qmax比术前升高,且观察组高于对照组,差异有统计学意义(t=5.322,P<0.05);两组患者A-G值、RV降低,且观察组低于对照组,差异有统计学意义(t=7.801、17.226,P<0.05)。结论:PVRP治疗高龄高危良性BPH的效果确切,可减少前列腺腺体体积,缓解患者的临床症状,改善尿动力学,提高生活质量,且并发症少。Objective:To investigate the effectiveness of green laser prostate vaporization resection(PVRP) in the treatment of high-risk benign prostatic hyperplasia(BPH) in advanced age and the effect on urodynamics of patients.Methods:64 elderly high-risk BPH patients admitted to the hospital from January 2019 to January 2020 were selected for the study,and they were divided into two groups according to the random number table method,with 32 cases in each group.Transurethral resection of prostate(TURP) was used in the control group,and PVRP was used in the observation group.The operative time,intraoperative bleeding,postoperative bladder flushing time,postoperative hospital stay,complications,serum prostate-specific antigen(PSA),International Prostate Symptom Score(IPSS),quality of life score(QOL),maximum urinary flow rate(Qmax),pressure-flow rate value(A-G),and residual urine volume(RV) were compared between the two groups.Results:The postoperative bladder flushing time was shorter in the observation group than in the control group,and the difference was statistically significant(t=10.153,P<0.05).After surgery,the incidence of urinary frequency,painful urination,urinary retention,urinary urgency,and electrodesiccation syndrome was lower in the observation group than in the control group,and the difference was statistically significant(t=7.630,7.053,9.143,6.564,4.267,P<0.05).After surgery,the serum PSA,IPSS score and QOL score decreased in both groups compared with the preoperative period,and the observation group was lower than the control group,and the difference was statistically significant(t=9.975,8.899,15.125,P<0.05).At 3 months after surgery,Qmax was higher in both groups than before surgery,and the observation group was higher than the control group,and the difference was statistically significant(t=5.322,P<0.05).A-G values and RV were reduced in both groups and were lower in the observation group than in the control group,with statistically significant differences(t=7.801,17.226,P<0.05).Conclusion:PVRP is definit

关 键 词：绿激光前列腺汽化切除术 高危良性前列腺增生 前列腺特异抗原 生活质量 尿动力学 

分 类 号：R697[医药卫生—泌尿科学]