半导体激光汽化术与经尿道前列腺双极等离子电切术治疗良性前列腺增生104例效果研究  

The Effect of Semiconductor Laser Vaporization and Transurethral Bipolar Plasma Resection of the Prostate in the Treatment of Benign Prostatic Hyperplasia in 104 Cases

作　　者：匡载星 Kuang Zai-xing(Wan'an County People's Hospital,343800)

机构地区：[1]万安县人民医院,江西万安343800

出　　处：《罕少疾病杂志》2023年第8期13-16,共4页Journal of Rare and Uncommon Diseases

摘　　要：目的探究半导体激光汽化术与经尿道前列腺双极等离子电切术治疗良性前列腺增生(BPH)的效果。方法选取2020年5月至2021年5月本院收治的BPH患者104例,依据术式分为半导体激光组(DL组)和等离子组(PK组),各52例。记录两组的围术期情况以及治疗效果,对比术前、后尿道功能[前列腺体积、国际l前列腺症状评分(IPSS)、残余尿量]、尿流动力学[最大尿流率(Qmax)、最大尿道关闭压(MUC.P)、膀胱顺应性(BC)]以及性功能[精浆α-葡萄糖苷酶(α-Gu)、精浆.酸性磷酸酶(ACP)、精浆果糖(Fru)]情况的差异性。结果DL组手术时间长于PK组.(P<005),但其血红蛋白下降量、留置尿管以及住院时间均短于PK组(P<0.05)。DL组痊愈、显效以及有效例数均较PK.组更多,其无效例数少于PK组(P<005)。l术后两组的前列腺体积、IPSS评分.以及残余尿量均较术前下降(P<005),且DL组.上述指标水平均低于PK组(P<005)。术后两组Qmax、MUCP、BC、α-Gu、ACP以及Fru均较术前升高(P<005),且DL组上述指标水平均高于PK组(P<005)。结论半导体激光汽化术可明显缩短BPH患者住院周期,同时还可明显改善患者尿道功能以及尿流动力学情况,对性功能影响更小,疗效确切。Objective To explore the effect of semiconductor laser vaporization and transurethral bipolar plasma resection of the prostate in the treatment of benign prostatic hyperplasia(BPH).Methods All subjects were come from our hosptil during May 2020 to May 2021,and according to the surgical method to divided into two group[laser group(DL group)and plasma group(PK group)],with 52 cases in each.The perioperative conditions and treatment effects of the two groups were recorded,and the preoperative and post-operative urethral functions[prostate volume,International Prostate Symptom Score(IPSS),residual urine volume],urodynamics[maximum urine flow rate(Qmax),maximum urethral volume]were compared.Closing pressure(MUCP),bladder compliance(BC)]and sexual function[seminal plasmaα-glucosidase(α-Glu),seminal plasma acid phosphatase(ACP),seminal fructose(Fru)].Results To compared with PK group,The operation time of DL group was longer,but the decrease of hemoglobin,indwelling catheter and hospitalization time were shorter(P<0.05);The number of cured,markedly effective and effective cases was more(P<0.05);The prostate volume,IPSS score and residual urine volume were lower(P<0.05);Qmax,MUCP,BC,α-Glu,ACP and Fru were higher(P<0.05).Conclusion Semiconductor laser vaporization has the advantage of short hospital stay in the treatment of BPH,and can also significantly improve the urethral function and urodynamics of patients,with less impact on sexual function and definite curative effect.

关 键 词：良性前列腺增生 半导体激光 双极等离子切割 治疗效果 

分 类 号：R6973[医药卫生—泌尿科学]