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主管:陕西省卫生健康委员会
主办:西安心身医学研究所
   西安交通大学第一附属医院
国际标准刊号:ISSN2096—1413
国内统一刊号:CN61—1503/R

经尿道2 μm 激光联合经尿道前列腺电切术治疗前列腺增生的效果

侯二文,雷永华,赵致广,邱建新

(第四军医大学唐都医院泌尿外科,陕西 西安,710038)

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摘要:

目的 探讨经尿道2 μm 激光联合经尿道前列腺电切术治疗前列腺增生的效果。方法 将我院收治的100 例前列腺增生 患者随机分为对照组和观察组,各50 例。对照组行经尿道前列腺电切术,观察组行经尿道2 μm 激光汽化联合经尿道前列腺 电切术。比较两组患者的治疗效果, 包括手术时间、术中出血量、术后膀胱冲洗时间、留置尿管时间、住院时间、并发症发生 率、最大尿流率、残留尿量。结果 两组手术时间比较,差异无统计学意义(P>0.05);而观察组的术中出血量、术后膀胱冲洗时 间、留置尿管时间、住院时间、并发症总发生率、最大尿流率、残留尿量均优于对照组(P<0.05)。结论 采取经尿道2 滋m 激光 汽化联合经尿道前列腺电切术治疗前列腺增生具有术中出血量少、术后恢复快、并发症少等优点,可有效改善患者的前列腺 尿道功能。

关键词:前列腺增生;经尿道前列腺电切术;经尿道激光汽化切除术

中图分类号:R699.8文献标志码:A文章编号:2096-1413(2018)02-0102-02

    Effect of transurethral 2 μm laser combined with transurethral resection of prostate in the treatment of prostatic hyperplasia
    HOU Er-wen, LEI Yong-hua, ZHAO Zhi-guang, QIU Jian-xin
    (Urology Department, Tangdu Hospital of the Fourth Military Medical University, Xi``an 710038, China)

    ABSTRACT: Objective To investigate the effect of transurethral 2 μm laser combined with transurethral resection of the prostate in prostatic hyperplasia. Methods One hundred prostatic hyperplasia patients were randomly divided into control group and observation group, with 50 cases in each group. The control group underwent transurethral resection of prostate, the observation group underwent transurethral 2 μm laser combined with transurethral resection of prostate. The therapeutic effects were compared between the two groups, including the operation time, the amount of bleeding, postoperative bladder irrigation time, indwelling catheter time, hospitalization time, the complication rate, the maximum urine flow rate, residual urine volume. Results There was no significant difference in the operation time between the two groups (P>0.05); the amount of bleeding, postoperative bladder irrigation time, indwelling catheter time, hospitalization time, total complication rate, maximum urine flow rate, residual urine volume in the observation group were better than those in the control group (P<0.05). Conclusion It has the advantages of less intraoperative bleeding, quick recovery and less complications to take transurethral 2 μm laser vaporization combined with transurethral resection of prostate in the treatment of prostatic hyperplasia, and it can effectively improve the function of patients with prostatic urethra.
    KEYWORDS: prostate hyperplasia; transurethral resection of prostate; transurethral resection of laser vaporization

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