除术与经尿道前列腺电切术的安全性及疗效对比.docVIP

经尿道钬激光前列腺剜除术与经尿道前列腺电切术的安全性及疗效对比 经尿道钬激光前列腺剜除术与经尿道前列腺电切术的安全性及疗效经尿道钬激光前列腺剜除术经尿道前列腺电切术The study of the safety and?efficacy of?transurethral holmium?laser enucleation of the prostate and?transurethral resection of the prostate [Abstract] Objective：To compared?the?safety and efficacy of transurethral holmium?laser enucleation of the prostate?(HoLEP) and transurethral resection of prostate?(TURP).Method：Clinical study?of 90 cases with benign?bladder outlet obstruction?(BOO)?caused by prostatic hyperplasia?(BPH).The study?group?received HoLEP,and control group?received TURP.The maximal urinary flow rate?(Qmax),residual urine volume?(PVR)?and the International?Prostate Symptom Score?(IPSS) at before operation,after 1 month of operation,and after 12 months of operation.In addition,complications in two?groups of patients?after?operation were observed.Result：After 12 months of operation,?Qmax of the study group?was significantly higher than the control group,PVR and?IPSS were lower than control group,P＜0.05.Study?group of?postoperative hyponatremia?incidence and?blood transfusion were 6.67%,?2.22%,?significantly lower than the control group?22.22%,?13.33%,there was significant difference,P 0.05. Conclusion：HoLEP combine with?BPH have better?long-term efficacy than TURP in treatment of?BPH,and?the incidence of postoperative complications is low,it is?worthy of promotion. [Keywords]Transurethral holmium?laser enucleation of the prostate;transurethral resection of the prostate;efficacy;safety 良性前列腺增生（BPH）而引发的膀胱出口梗阻（BOO）是临床常见的一类疾病，而经尿道前列腺电切术经尿道钬激光前列腺剜除术统计学分析：采用SPSS13.0统计软件进行统计分析，±s表示，计数资料用百分率（%）表示，组间计量资料比较采用两样本t检验，组间计数资料的比较采用x2检验，以P＜0.05为有统计学意义。±s） 组别 Qmax（ml/s） PVR（ml） IPSS（分） 术前 术后1月 术后12月 术前 术后1月 术后12月 术前 术后1月 术后12月 研究组 5.29±1.89 18.42±3.55 19.81±5.09 115.82±102.55 15.88±17.75 12.66±15.56 24.39±3.75 6.73±2.72 4.94±2.19 对照组 5.55±1.75 18.30±3.22 18.04±4.54 109.98±100.26 16.24±16.59 23.56±26.64 24.54±3.80 6.98±2.41 7.49±2.04 t 0.68 0.17 1.74 0.27 0.10 2.37 0.19 0.46 5.72