[1]张红森,郭国营.经尿道绿激光前列腺剜除术与经尿道前列腺电切术治疗高危良性前列腺增生疗效比较[J].新乡医学院学报,2018,35(1):072-75.[doi:10.7683/xxyxyxb.2018.01.018]
　ZHANG Hong-sen,GUO Guo-ying.Comparison of the clinical effect between transurethral green laser enucleation of the prostate and transurethral resection of the prostate in the treatment of high-risk benign prostatic hyperplasia[J].Journal of Xinxiang Medical University,2018,35(1):072-75.[doi:10.7683/xxyxyxb.2018.01.018]
点击复制

经尿道绿激光前列腺剜除术与经尿道前列腺电切术治疗高危良性前列腺增生疗效比较
分享到：

《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
35
期数:
2018年1
页码:
072-75
栏目:
临床研究
出版日期:
2018-01-05

文章信息/Info

Title:
Comparison of the clinical effect between transurethral green laser enucleation of the prostate and transurethral resection of the prostate in the treatment of high-risk benign prostatic hyperplasia
作者:
张红森; 郭国营
（新乡市中心医院泌尿外二科，河南　新乡　453000）
Author(s):
ZHANG Hong-sen; GUO Guo-ying
（Department of Urinary Surgery，the Central Hospital of Xinxiang City，Xinxiang 453000，Henan Province，China）
关键词:
良性前列腺增生症; 绿激光; 经尿道前列腺剜除术; 经尿道前列腺电切术
Keywords:
benign prostatic hyperplasia; green laser; transurethral enucleation of the prostate; transurethral resection of the prostate
分类号:
R697.3
DOI:
10.7683/xxyxyxb.2018.01.018
文献标志码:
A
摘要:
目的　对比经尿道绿激光前列腺剜除术与经尿道前列腺电切术（TURP）治疗高危良性前列腺增生（BPH）的疗效及安全性。方法　选择2014年3月至2016年1月新乡市中心医院收治的高危BPH患者101例，其中52例行经尿道绿激光前列腺剜除术（绿激光组），49例行TURP（TURP组），比较2组患者的手术时间、术中出血量、前列腺切除量、膀胱冲洗时间、术后尿管留置时间、术后住院时间、经尿道电切综合征（TURS）及术后并发症；分别于术前及术后3个月对2组患者国际前列腺症状量表（IPSS）评分、生活质量（QOL）评分、最大尿流率（Qmax）及排泄后残留尿量（PVR）进行比较。结果　绿激光组患者手术时间、膀胱冲洗时间、尿管留置时间及术后住院时间显著短于TURP组（P<0.05），术中出血量显著少于TURP组（P<0.05），前列腺切除量显著多于TURP组（P<0.05）。2组患者围术期输血率、TURS发生率及尿道狭窄、暂时性尿失禁、术后感染、膀胱颈挛缩、逆行射精等并发症发生率比较差异均无统计学意义（P>0.05）。术前2组患者IPSS评分、QOL评分、Qmax及PVR比较差异均无统计学意义（P>0.05）。2组患者术后3个月IPSS评分、QOL评分及PVR显著低于术前（P<0.05），Qmax显著高于术前（P<0.05）；术后3个月，2组患者IPSS评分、QOL评分、Qmax及PVR比较差异均无统计学意义（P>0.05）。结论　经尿道绿激光前列腺剜除术与TURP治疗高危BPH均可获得良好的治疗效果，但经尿道绿激光前列腺剜除术治疗高危BPH具有手术时间短、术中出血量少、术后恢复快、安全性好等优势。
Abstract:
Objective　To compare the clinical effect and safety between transurethral green laser enucleation of the prostate and transurethral resection of the prostate （TURP） in the treatment of high-risk benign prostatic hyperplasia （BPH）.Methods　A total of 101 patients with high-risk BPH were selected from March 2014 to January 2016 in the Central Hospital of Xinxiang City.Among the patients，52 patients were treated with transurethral green laser enucleation of the prostate （green laser group），another 49 patients underwent TURP （TURP group）.The operation time，intraoperative blood loss，the mass of resected prostate，bladder irrigation time，postoperative indwelling catheter time，postoperative hospitalization time，transurethral resection syndrome （TURS） and postoperative complications were compared between the two groups.The international prostate symptom scale （IPSS） score，quality of life （QOL） score，maximum urinary flow rate （Qmax） and postvoid residual （PVR） were compared between the two groups before and three months after operation.Results　The operation time，bladder irrigation time，indwelling catheter time，postoperative hospitalization time of patients in green laser group were significant shorter than those in TURP group（P<0.05），the intraoperative blood loss in green laser group was significantly less than that in TURP group （P<0.05），and the mass of resected prostate in green laser group was significantly more than that in TURP group （P<0.05）.There were no significant difference in the incidence of perioperative blood transfusion，TURS，urethral stricture，temporary urinary incontinence，postoperative infection，bladder neck contracture and retrograde ejaculation between the two groups （P>0.05）.There was no significant difference in IPSS score，QOL score，Qmax and PVR between the two groups before operation （P>0.05）.The IPSS score，QOL score and PVR at three months after operation were significantly lower than those before operation （P<0.05）.The Qmax at three months after operation was significantly higher than that before operation （P<0.05）.There was no significant difference in IPSS score，QOL score，Qmax and PVR between the two groups at three months after operation （P>0.05）.Conclusion　Transurethral green laser enucleation of the prostate and TURP for treating high-risk BPH can obtain good therapeutic effect.Transurethral green laser enucleation of the prostate in the treatment of high-risk BPH has the advantages of shorter operation time，less intraoperative bleeding，faster postoperative recovery and good safety.

参考文献/References:

［1］　邓助朋，陈宁，李辉华，等.经尿道等离子双极前列腺电切术治疗高危良性前列腺增生53例［J］.海南医学，2015，26（13）：1990-1992.
［2］　THANGASAMY I A，CHALASANI V，BACHMANN A，et al.Photoselective vaporisation of the prostate using 80-W and 120-W laser versus transurethral resection of the prostate for benign prostatic hyperplasia：a systematic review with meta-analysis from 2002 to 2012［J］.Eur Urol，2012，62（2）：315-323.
［3］　丁茂，粘烨琦，胡善彪，等.经尿道选择性120W绿激光汽化术治疗良性前列腺增生疗效和安全性的Meta分析［J］.中华男科学杂志，2015，21（7）：646-654.
［4］　TENG J，ZHANG D，LI Y，et al.Photoselective vaporization with the green light laser vs transurethral resection of the prostate for treating benign prostate hyperplasia：a systematic review and meta-analysis［J］.BJU Int，2013，111（2）：312-323.
［5］　ROBERTSON C，LINK C L，ONEL E，et al.The impact of lower urinary tract symptoms and comorbidities on quality of life：the BACH and UREPIK studies［J］.BJU Int，2007，99（2）：347-354.
［6］　RASSWEILER J，TEBER D，KUNTZ R，et al.Complications of transurethral resection of the prostate（TURP）：incidence，management，and prevention［J］.Eur Urol，2006，50（5）：968-979.
［7］　叶章群.激光技术在治疗良性前列腺增生症中的应用［J］.中华外科杂志，2013，51（2）：127-130.
［8］　MOSLI H A，ABDEL-MEGUID T A，ABDULWAHHAB M H，et al.Photoselective vaporization of the prostate using GreenLight 120-W lithium triborate laser to treat symptomatic benign prostatic hyperplasia：a single-centre prospective study［J］.Can Urol Assoc J，2013，7（3/4）：193-196.
［9］　GOMEZ S F，RIVERA V C，GEORGIEV G，et al.Common trend：move to enucleation：is there a case for GreenLight enucleation?Development and description of the technique［J］.World J Urol，2015，33（4）：539-547.
［10］　WOO H H，HOSSACK T A.Photoselective vaporization of the prostate with the 120-W lithium triborate laser in men taking coumadin［J］.Urology，2011，78（1）：142-145.
［11］　钟瑞伦，杨国胜，陈波特，等.高功率直出绿激光推铲式剜切术治疗大体积前列腺增生的临床疗效评估［J］.临床外科杂志，2017，25（2）：111-115.

相似文献/References:

[1]樊松强.前列舒通胶囊与非那雄胺片联合经尿道前列腺等离子双极电切术治疗良性前列腺增生症疗效观察[J].新乡医学院学报,2023,40(4):353.[doi:10.7683/xxyxyxb.2023.04.010]
　FAN Songqiang.Effect of Qianlie Shutong capsule and finasteride tablets combined with transurethral bipolar plasma kinetic prostatectomy in the treatment of benign prostatic hyperplasia[J].Journal of Xinxiang Medical University,2023,40(1):353.[doi:10.7683/xxyxyxb.2023.04.010]

更新日期/Last Update: 2018-01-05