[1]李泓玫,王希友,陈安龙,等.经尿道激光汽化术治疗良性前列腺增生的效果[J].中国医学物理学杂志,2021,38(9):1158-1161.[doi:10.3969/j.issn.1005-202X.2021.09.020]
　LI Hongmei,WANG Xiyou,CHEN Anlong,et al.Therapeutic effect of transurethral laser vaporization for benign prostatic hyperplasia[J].Chinese Journal of Medical Physics,2021,38(9):1158-1161.[doi:10.3969/j.issn.1005-202X.2021.09.020]
点击复制

经尿道激光汽化术治疗良性前列腺增生的效果()
分享到：

《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
38卷
期数:
2021年第9期
页码:
1158-1161
栏目:
医学生物物理
出版日期:
2021-09-26

文章信息/Info

Title:
Therapeutic effect of transurethral laser vaporization for benign prostatic hyperplasia
文章编号:
1005-202X（2021）09-1158-04
作者:
李泓玫; 王希友; 陈安龙; 刘萃龙
中国人民解放军总医院第六医学中心泌尿外科，北京100048
Author(s):
LI Hongmei;  WANG Xiyou;  CHEN Anlong;  LIU Cuilong
Department of Urology Surgery, the Sixth Medical Center, Chinese PLA General Hospital, Beijing 100048, China
关键词:
良性前列腺增生; 激光汽化术; 经尿道前列腺等离子电切术
Keywords:
benign prostatic hyperplasia laser vaporization transurethral plasmakinetic prostatectomy
分类号:
R697.3
DOI:
10.3969/j.issn.1005-202X.2021.09.020
文献标志码:
A
摘要:
目的：探讨激光汽化术治疗良性前列腺增生（BPH）的效果。方法：62 例BPH患者依据不同治疗方式分组：对照组 采用经尿道前列腺等离子电切术（TUPKP），研究组采用经尿道1 470 nm 激光前列腺汽化术。观察并比较两组患者手术 前后血红蛋白、血钠水平，围术期指标（术后膀胱持续冲洗时间、留置尿管时间及住院时长），国际前列腺症状（IPSS）、生 活质量（QOL）、最大尿流量（Qmax）及残余尿量PVR，术后并发症情况。结果：研究组术后血红蛋白水平显著高于对照组 （P<0.05），两组术后血纳水平无显著性差异（P>0.05）。研究组手术时间长于对照组（P<0.05），研究组术后膀胱冲洗时间、 术后留置尿管时间、术后住院时间短于对照组（P<0.05）。两组治疗后IPSS、QOL、Qmax及PVR均无显著性差异（P>0.05）。 术后随访3个月，研究组未发生短期并发症，对照组发生继发性出血1例。结论：BPH患者使用1 470 nm激光汽化术与TUPKP 术治疗均可显著缓解患者相关下尿路症状，患者生活质量水平得到显著提高，临床疗效相近；与TUPKP术相比，经尿道 1 470 nm激光汽化术治疗BPH的手术时间相对更长，但术后恢复快，临床安全性较高。
Abstract:
Objective To investigate the therapeutic effect of laser vaporization for benign prostatic hyperplasia (BPH). Methods A total of 62 BPH patients were grouped according to different treatment strategies. Transurethral plasmakinetic prostatectomy (TUPKP) was adopted in control group, while transurethral 1 470 nm laser vaporization in study group. The levels of hemoglobin and blood sodium before and after operation, perioperative indicators (postoperative durations of bladder irrigation, indwelling catheter and hospital stay), IPSS, QOL, Qmax and PVR were compared between two groups. Results The postoperative hemoglobin level in study group was significantly higher than that in control group (P<0.05), but the difference in postoperative blood sodium level between two groups was trivial (P>0.05). Although the operation in study group took longer than control group (P<0.05), the postoperative durations of bladder irrigation, indwelling catheter and hospital stay in study group were shorter than those in control group (P<0.05). There was no significant difference in IPSS, QOL, Qmax and PVR between two groups after treatment (P>0.05). The patients were followed-up for 3 months, and no shortterm postoperative complication was found in study group, but secondary bleeding occurred in 1 case in control group. Conclusion Both 1 470 nm laser vaporization and TUPKP for BPH can significantly alleviate the relevant lower urinary tract symptoms, and significantly improve the quality of life of patients and the clinical efficacy is very similar. The operation duration of transurethral 1 470 nm laser vaporization for BPH is relatively longer than TUPKP, but the former can make postoperative recovery faster, and has a higher clinical safety.

备注/Memo

备注/Memo:
【收稿日期】2021-05-02 【基金项目】北京市科技委首都特色临床应用研究专项（Z171100001- 017174） 【作者简介】李泓玫，主管护师，E-mail: wangjinghui20130@163.com 【通信作者】刘萃龙，主任医师，研究方向：前列腺增生激光治疗，E-mail: LCLwq-83107@163.com
更新日期/Last Update: 2021-09-27