中国内镜杂志2011，Vol.17Issue(7)：687-691,5.
2μm激光汽化切除术与等离子双极电切术治疗良性前列腺增生的疗效比较
A comparative study on the results of two micron laser vaporesection of prostate and bipolar transnrethral plasmakinetic prostatectomy for benign prostatic hyperplasia
孙邕 1罗光恒 1孙兆林 2刘军 1王元林 1杨秀书 1朱建国1
作者信息
- 1. 贵州省人民医院，泌尿外科，贵州，贵阳，550002
- 2. 上海交通大学泌尿外科研究所博士后流动站，上海，200085
- 折叠
摘要
Abstract
[ Objective ] To compare the therapeutic effects of the two micron laser vaporesection of prostate and bipolar transurethral plasmakinetic prostatectomy (TUPKP) for the treatment of benign prostatic hyperplasia (BPH). [Methods] One hundred and seventy-six cases of BPH were divided into two groups randomly, ninety cases of them underwent two micron laser vaporization resection and eighty-six cases for TUPKP. The significant markers and ther-apeutic results were recorded and analyzed. [Results] There was no significant difference between the two groups in some preoperative factors (P >0.05). The time of operation for TUPKP was (69.5+17.8) min, shorter than that for two micron laser vaporesection, (80.2±16.9) min. The volume of irrigating fluid during operation for two micron laser va-poresection was (21.4±4.1) L, less than that for TUPKP, (27.1±4.2) L. The blood loss in operation for two micron laser vaporesection was (50.4±13.0) mL, less than that for TUPKP, (87.5±20.4) mL. The time of bladder irrigating after operation was (15.5±7.5) h in two micron laser group, shorter than the (46.4±9.4) h in TUPKP group. The time of catheterization was (2.4±0.3) d in two micron laser group, shorter than the (4.4±0.8) d in TUPKP group. Hospital stay after surgical therapy was (5.0±0.7) d in two micron laser group, shorter than the (7.1 ±0.7) d in TUPKP group. Significant difference was found between the two groups in the above six markers (P <0.05). All the cases were followed up for 3 months, IPSS, QOL, Qmax and PVR were improved significantly compared with that of preoperative in both groups (P <0.01), but no significant difference had been noted with different procedure (P >0.05). There was no significant difference between the two groups in operative complications (P>0.05). [Conclusions] The two micron laser ' vaporesection of prostate can significantly improve the patients' lower urinary tract symptoms, and has the same early efficacy as well as TUPKP. Compared to TUPKP, two micron laser vaporesection of prostate has more advantages of simpler operation, less blood loss, shorter postoperative catheter indwelling time and hospital stay, rapid recovery after surgery. Two micron laser vaporesection of the prostate is a safe and effective minimally invasive treatment for BPH.关键词
良性前列腺增生/2μm激光/汽化切除术/经尿道前列腺等离子双极电切术/疗效Key words
benign prostatic hyperplasia/ two micron laser/ vaporesection/ bipolar transurethral plasma kinetic prostatectomy/ efficacy分类
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孙邕,罗光恒,孙兆林,刘军,王元林,杨秀书,朱建国..2μm激光汽化切除术与等离子双极电切术治疗良性前列腺增生的疗效比较[J].中国内镜杂志,2011,17(7):687-691,5.
