摘要
Abstract
Objective To observe the clinical effects of holmium laser enucleation of the prostate(HoLEP)and transurethral resection of the prostate(TURP)in the treatment of benign prostatic hyperplasia(BPH)patients and their impacts on prostate function and sexual function.Methods The control group(n=34)was treated with TURP,while the observation group(n=34)was treated with HoLEP.The surgical-related indicators,prostate symptoms(IPSS,QOL),and sexual function(IIEF-5,EHGS)scores,as well as the occurrence risks of complications(secondary bleeding,urinary incontinence,urinary tract infection,and bladder irritation symptoms)were compared between the two groups.Results Compared with the control group,the observation group had better surgical indicators(t=-11.903,P=0.000;t=-11.801,P=0.000;t=-16.369,P=0.000).After treatment,the IPSS and QOL scores of all patients decreased(P<0.05),and the observation group was superior to the control group(t=-14.349,P=0.000;t=-7.969,P=0.000);the IIEF-5 and EHGS scores increased(P<0.05),and the observation group was superior to the control group(t=9.098,P=0.000;t=8.563,P=0.000).The postoperative complication rates of the two groups were 5.88%and 26.47%,respectively,and the observation group was lower(χ2=5.314,P=0.021).Conclusion HoLEP has a good clinical effect in the treatment of BPH,can effectively reduce intraoperative blood loss,shorten recovery time,improve prostate symptoms and sexual function of patients,and has high safety,which is worthy of promotion.关键词
良性前列腺增生/经尿道前列腺钬激光剜除术/经尿道前列腺电切术Key words
Benign prostatic hyperplasia/Transurethral holmium laser enucleation of the prostate/Transurethral resection of the prostate分类
医药卫生
