PKRP与TmLRP治疗良性前列腺增生症的早期疗效及并发症

沈洁; 官润云; 何宗海; 郑明星

PKRP与TmLRP治疗良性前列腺增生症的早期疗效及并发症

昆明医科大学第一附属医院泌尿外科

基金项目:

基金：国家自然科学基金资助项目 (81460141);

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出版历程
- 收稿日期: 2017-04-13

Comparison of the Efficacy and Complications of PKRP and TmLRP in Treatment of Early Benigh Prostate Hyperplasia

Funds:

基金：国家自然科学基金资助项目 (81460141);

摘要

摘要: 目的探讨经尿道等离子前列腺切除术 (surethral plasmakineticresection of prostate, PKRP) 与经尿道铥激光前列腺切除术 (thuliumlaser resection of theprostate, Tm LRP) 治疗良性前列腺增生症患者的近期疗效.方法将需接受手术治疗的前列腺增生症患者100名随机分成PKRP组及Tm LRP组, 各50例, 比较两种不同手术方式后患者的近期疗效.结果 Tm LRP组患者的术后、留置导尿管时间以及术后住院天数均少于PKRP组 (P<0.05) .2组患者术后国际前列腺症状评分 (IPSS) 、生活质量评分 (QOL) 、最大尿流率 (Qmax) 、残余尿量 (RUV) 与术前比较差异均有统计学意义 (P<0.01) , 组间比较差异无统计学意义 (P>0.05) .TMLRP组和PKRP组手术时间分别为 (61.2±24.2min) 和 (30.1±15.9min) , 2组间比较差异有统计学意义 (P<0.05) .Tm LRP组患者术后并发症发生例数少于PKRP组, 比较差异有统计学意义 (P<0.05) .结论 TMLRP手术时间较PKRP长, 但Tm LRP具有术中精准解剖前列腺切除、出血少、术后患者恢复快、痛苦小, 住院时间短、近期并发症发生率低、安全性高等优点, 近期疗效与PKRP相当.
- 前列腺增生症 /
- 前列腺电切 /
- 等离子 /
- 铥激光
Abstract: Objective To evaluate the short-term curative effect of PKRP and Tm LRP for benign prostatic hyperplasia (BPH) . Me thods We selected 100 subjects who would like to accept surgical treatment, and then randomly divided them into two groups (PKRP and Tm LRP) , 50 in each group. Then we compared the recent curative effect between two different surgical methods. Re s ults The mean catheterization, irrigation and hospital stay time in the Tm LRP were shorter than those in the PKRP group respectively (P < 0.05) . The general results were satisfactory. The IPSS, QOLS, RUV and Qmax were impoved significantly (P < 0.01) , and the differences between groups had no statistical significance (P > 0.05) . Statistically significant difference was found in the operative time and postoperative complications between Tm LRP and PKRP with operative time 61.2 ±24.2 minutes and 30.1±15.9 minutes respectively (P < 0.05) whereas postoperative complications using Tm LRP treatment were less than PKRP (P < 0.05) . Conclus ion Despite longer operative time, Tm LRP treatment shows multiple advantages, such as more precise prostate intraoperative anatomic resection, less bleeding, shorter recovery period, lesser pain, shorter hospitalization, lower short-term complication rates, higher security, etc, and has similar short-term curative effect to PKRP treatment.
- Benign prostate hyperplasia /
- Electro-prostatectomy /
- Plasma /
- Thulium laser

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参考文献(17)

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