论文部分内容阅读
目的:评估经尿道前列腺选择性绿激光汽化术联合汽化电切术(PVP+TUVP)与经尿道前列腺汽化电切术(TUVP)治疗体积大于80ml重度BPH的安全性和临床疗效。方法:选取符合入选标准的重度BPH患者95例,按手术方式随机分为PVP+TUVP治疗组48例和TUVP对照组47例,比较两种术式的手术时间、术中出血量、术后血尿时间、症状评分、尿流动力学及并发症等指标。结果:PVP+TUVP组手术时间略长于TUVP组,但差异无统计学意义(P>0.10)。PVP+TUVP组术中出血量、术后血尿时间、并发症均少于TUVP组,差异有统计学意义(P<0.05)。术后随访12个月,PVP+TUVP组IPSS评分、QOL评分、Qmax、RUV均比术前明显改善(P<0.002),但组间比较差异无统计学意义(P>0.05)。结论:对于体积大于80ml重度BPH患者,PVP+TUVP比TUVP具有术中风险低、术后恢复快和并发症少等优点,临床疗效相似,是一种更加安全有效的微创手术方式。
PURPOSE: To evaluate the safety and clinical efficacy of transurethral selective prostatectomy combined with vaporization of the prostate (PVP + TUVP) and transurethral vaporization of the prostate (TUVP) in the treatment of BPH greater than 80 ml. Methods: Ninety-five patients with severe BPH who met the inclusion criteria were randomly divided into 48 cases of PVP + TUVP treatment group and 47 cases of TUVP control group by operation method. The operation time, intraoperative blood loss, postoperative hematuria Time, symptom scores, urodynamics and complications. Results: The operation time in PVP + TUVP group was slightly longer than that in TUVP group, but the difference was not statistically significant (P> 0.10). The blood loss, postoperative hematuria time and complications in PVP + TUVP group were less than those in TUVP group (P <0.05). The IPSS score, QOL score, Qmax and RUV in PVP + TUVP group were significantly improved compared with that before operation (P <0.002) after 12 months of follow-up. There was no significant difference between the two groups (P> 0.05). CONCLUSIONS: PVP + TUVP has the advantages of low intraoperative risk, quick recovery and fewer complications than TUVP in patients with volume BPH greater than 80ml. The clinical efficacy is similar to that of PVP + TUVP, which is a safer and more effective minimally invasive surgical method.