经尿道钬激光前列腺剜除术对良性前列腺增生患者的临床疗效研究  

Study on Clinical Efficacy of Transurethral Holmium Laser Enucleation in Patients with Benign Prostatic Hyperplasia

作　　者：林叶福 蒋泽华 LIN Yefu;JIANG Zehua(Longyan People's Hospital,Longyan,364000,China;不详)

机构地区：[1]龙岩人民医院,福建龙岩364000

出　　处：《中外医学研究》2024年第33期96-99,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨经尿道钬激光前列腺剜除术在治疗良性前列腺增生(BPH)中的临床疗效。方法:选取2018年11月—2022年11月龙岩人民医院收治的100例BPH患者作为研究对象。按照不同手术方式将其分成研究组和对照组,每组各50例。研究组行经尿道钬激光前列腺剜除术(HoLEP),对照组行经尿道前列腺电切术(TURP)。比较两组临床疗效、围手术期指标、并发症、前列腺功能指标和生活质量评分。结果:研究组总有效率高于对照组,差异有统计学意义(P<0.05);研究组手术、膀胱冲洗、导管留置时间及出血量均少于对照组,差异有统计学意义(P<0.05);研究组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。治疗前,两组前列腺体积(PV)、最大尿流率(Qmax)、残余尿量(RUV)、前列腺症状评分(IPSS)、生活质量(QOL)评分比较,差异无统计学意义(P>0.05);治疗后,两组PV、RUV、IPSS均降低,且研究组较对照组更低,差异有统计学意义(P<0.05);治疗后,两组QOL评分均提高,且研究组较对照组更高,差异有统计学意义(P<0.05)。结论:HoLEP治疗BPH患者效果显著,能够减少手术风险,降低出血等并发症,提供更好的围术期感受,加速患者术后恢复。Objective:To investigate the clinical efficacy of transurethral holmium laser prostate enucleation in the treatment of benign prostatic hyperplasia(BPH).Method:A total of 100 patients BPH admitted to the urology department of Longyan People's Hospital from November 2018 to November 2022 were selected as the study objects.According to different operation methods,the patients were divided into study group and control group,with 50 cases in each group.The study group underwent transurethral holmium laser resection of the prostate(HoLEP)and the control group underwent transurethral resection of the prostate(TURP).The clinical efficacy,perioperative indicators,complications,prostate function indicators and quality of life scores were observed and compared between two groups.Result:The total effective rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The total incidence of complications,intraoperative time,bleeding volume,postoperative bladder flushing time and catheter indwelling time in the study group were all lower than those in the control group,and the differences were statistically significant(P<0.05).Before treatment,there was no statistically significant difference in prostate volume(PV),maximum flow rate(Qmax),residual urine volume(RUV),international prostate symptom score(IPSS),and quality of life(QOL)scores between the two groups(P>0.05).After treatment,the PV,RUV and IPSS of both groups decreased,and those of the study group was lower,and the differences were statisically significant(P<0.05).After treatment,the QOL score of both groups improved,and those of the study group was higher,with statistical significance(P<0.05).Conclusion:HoLEP has a significant effect on treating BPH patients,which can reduce surgical risk,reduce bleeding and other complications,provide better perioperative feeling,and accelerate postoperative recovery of patients.

关 键 词：经尿道 钬激光 前列腺剜除术 良性前列腺增生 

分 类 号：R699.8[医药卫生—泌尿科学]