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目的探讨前列腺的两种腔内手术的方法对血PSA临床变化的影响。方法选取前列腺剜除术和前列腺汽化电切术共286例患者,均在术后3d拔出尿管的患者,对其术前,术后3d,术后1周,1个月,3个月PSA变化进行分析及随访,并行统计学分析。结果血PSA在钬激光组中和电切组中术后3d均不同程度的增高,术后一周逐渐下降,钬激光组下降明显,经统计学分析二组P<0.01,差异有统计学意义;术后1个月降至最低值,钬激光组下降的程度比电切组明显,3个月变化不大,差异无统计学意义(P>0.05)。结论钬激光剜除术与电切术均是前列腺腔内手术的两种方法,剜除术可以使血PSA下降较快,并较长时间持续低水平,明显优于电切术,剜除术切除前列腺更彻底。疗效更佳。
Objective To investigate the effects of two methods of endovascular surgery on the clinical changes of blood PSA. Methods A total of 286 patients undergoing prostatectomy and prostatectomy were enrolled in this study. All patients underwent preoperative and postoperative 3d, postoperative 1 week, 1 month, 3 months PSA changes were analyzed and followed up, parallel statistical analysis. Results The levels of serum PSA in the holmium laser group and the resection group increased at different degrees after operation, decreased gradually one week after operation, and decreased significantly in the holmium laser group. The statistical difference between the two groups was statistically significant (P <0.01) The level of holmium laser descended significantly more than that in the electrosurgical group at one month after operation, but the difference was not significant at 3 months (P> 0.05). Conclusions Both holmium laser excision and resection are two methods of intraluminal prostatectomy. Excision can make the blood PSA decrease quickly and continue for a long time, which is obviously better than the resection and excision Prostate resection more thoroughly. Better effect.