【摘要】 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。更多还原

【Abstract】 Objective:To evaluate safety and clinical efficacy of greenlight photoselective vaporization of prostate joint transurethral electrovaporization resection of prostate(PVP + TUVP) and transurethral electrovaporization resection of prostate(TUVP) treating volume greater than 80ml severe benign prostatic hyperplasia(BPH).Methods:Selected met the inclusion criteria severe benign prostatic hyperplasia patients with 95 cases,according to surgical treatment were randomly divided into PVP + TUVP group of 48 cases and TUVP control group of 47 patients,comparing two surgical operation time,blood loss,postoperative hematuria time,symptom score,urodynamic and complications indicators.Results:PVP + TUVP operative time was slightly longer than TUVP group,but the difference was not statistically significant(P>0.10).PVP + TUVP group blood loss,postoperative hematuria time and complications are superior to TUVP group,the difference was statistically significant(P<0.05).Patients were followed up for 12 months,PVP + TUVP group of international prostate symptom score(IPSS),quality of life score(QOL),maximum urinary flow rate(Qmax) and bladder residual urine(RUV) than before surgery significantly improved(P< 0.002),but two of these indicators was no significant difference(P>0.05).Conclusions:For volumes greater than 80ml severe BPH patients,PVP+TUVP than TUVP with low-risk surgery,rapid postoperative recovery and fewer complications,similar to clinical efficacy,it is a more safe and effective minimally invasive surgical approach.更多还原