中国医药指南
中國醫藥指南
중국의약지남
Guide of China Medicine
2015年
27期
25-26
,共2页
经尿道钬激光前列腺剜除术%经尿道前列腺电切术%疗效%安全性
經尿道鈥激光前列腺剜除術%經尿道前列腺電切術%療效%安全性
경뇨도화격광전렬선완제술%경뇨도전렬선전절술%료효%안전성
Transurethral holmium laser enucleation of the prostate%Transurethral resection of the prostate%Efifcacy%Safety
目的：对比经尿道钬激光前列腺剜除术（HoLEP）与经尿道前列腺电切术（TURP）的安全性及疗效。方法临床纳入良性前列腺增生（BPH）而引发的膀胱出口梗阻（BOO）患者90例，研究组进行HoLEP，对照组进行TURP。观察两组患者术前、术后1个月、术后12个月最大尿流率（Qmax）、残余尿量（PVR）以及国际前列腺症状评分（IPSS）；此外，观察两组患者手术后并发症情况。结果术后12个月，研究组Qmax明显高于对照组，PVR以及IPSS明显低于对照组，差异有显著性（P＜0.05）。研究组术后低钠血症发生率以及输血发生率分别为6.67%、2.22%，明显低于对照组的22.22%、13.33%，差异有显著性（P＜0.05）。结论 HoLEP治疗BPH，比较TURP，中远期疗效更好，且术后并发症发生率较低，值得推广。
目的：對比經尿道鈥激光前列腺剜除術（HoLEP）與經尿道前列腺電切術（TURP）的安全性及療效。方法臨床納入良性前列腺增生（BPH）而引髮的膀胱齣口梗阻（BOO）患者90例，研究組進行HoLEP，對照組進行TURP。觀察兩組患者術前、術後1箇月、術後12箇月最大尿流率（Qmax）、殘餘尿量（PVR）以及國際前列腺癥狀評分（IPSS）；此外，觀察兩組患者手術後併髮癥情況。結果術後12箇月，研究組Qmax明顯高于對照組，PVR以及IPSS明顯低于對照組，差異有顯著性（P＜0.05）。研究組術後低鈉血癥髮生率以及輸血髮生率分彆為6.67%、2.22%，明顯低于對照組的22.22%、13.33%，差異有顯著性（P＜0.05）。結論 HoLEP治療BPH，比較TURP，中遠期療效更好，且術後併髮癥髮生率較低，值得推廣。
목적：대비경뇨도화격광전렬선완제술（HoLEP）여경뇨도전렬선전절술（TURP）적안전성급료효。방법림상납입량성전렬선증생（BPH）이인발적방광출구경조（BOO）환자90례，연구조진행HoLEP，대조조진행TURP。관찰량조환자술전、술후1개월、술후12개월최대뇨류솔（Qmax）、잔여뇨량（PVR）이급국제전렬선증상평분（IPSS）；차외，관찰량조환자수술후병발증정황。결과술후12개월，연구조Qmax명현고우대조조，PVR이급IPSS명현저우대조조，차이유현저성（P＜0.05）。연구조술후저납혈증발생솔이급수혈발생솔분별위6.67%、2.22%，명현저우대조조적22.22%、13.33%，차이유현저성（P＜0.05）。결론 HoLEP치료BPH，비교TURP，중원기료효경호，차술후병발증발생솔교저，치득추엄。
ObjectiveTo compared the safety and efifcacy of transurethral holmium laser enucleation of the prostate (HoLEP) and transurethral resection of prostate (TURP).MethodClinical 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 lfow 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.ResultAfter 12 months of operation, Qmax of the study group was signiifcantly 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%, signiifcantly lower than the control group 22.22%, 13.33%,there was signiifcant difference,P<0.05.ConclusionHoLEP combine with BPH have better long-term efifcacy than TURP in treatment of BPH, and the incidence of postoperative complications is low, it is worthy of promotion.
