【摘要】 目的比较经尿道前列腺电切术、经尿道等离子前列腺剜除术及1 470 nm激光汽化术在治疗良性前列腺增生疗效的应用效果。方法选取2018年1月至2019年1月在东莞市人民医院住院并行手术的174例良性前列腺增生患者作为研究对象。根据手术方式的不同分为A组51例、B组87例和C组36例。A组选用经尿道前列腺电切术;B组选用经尿道等离子前列腺剜除术;C组选用1 470 nm激光汽化术。比较3组治疗前后最大尿流率、国际前列腺症状评分(IPSS)、残余尿量及前列腺特异性抗原与手术时间、术中出血量、总有效率及并发症发生率。结果 3组术后前列腺特异性抗原、残余尿量及IPSS较术前低,而最大尿流率较术前高(P<0.05)。B组手术时间较A组和C组更短,且术中出血量较A组和C组更少(P<0.05)。3组治疗后总有效率比较,差异无统计学意义(P>0.05)。C组治疗后并发症发生率较A组和B组更低(P<0.05)。结论良性前列腺增生治疗中经尿道前列腺电切术、经尿道等离子前列腺剜除术及1 470 nm激光汽化术均有良好的治疗效果。但经尿道等离子前列腺剜除术的操作流程更为简便,手术时间更短,术中出血量更少;而1 470 nm激光汽化术的并发症更少,且手术可随时中止,适合用于治疗年纪大或合并基础病较多的患者。更多还原

【Abstract】 【Objective】 To compare the effect of transurethral resection of prostate, transurethral plasma enucleation of prostate and 1 470 nm laser vaporization in the treatment of benign prostatic hyperplasia(BPH). 【Methods】 From January 2018 to January 2019, 174 cases of BPH in our hospital were divided into three groups according to the operation mode: group A(51 cases),group B(87 cases), and group C(36 cases); among them, group A selected transurethral resection of prostate, group B selected transurethral plasma enucleation of prostate, and group C selected 1470 nm laser vaporization. The maximum urine flow rate,international prostate symptom score(IPSS), residual urine volume, prostate specific antigen and operation time, intraoperative bleeding volume, total effective rate and complication rate were compared before and after treatment. 【Results】 After treatment,prostate specific antigen, residual urine volume, IPSS were significantly lower, and maximum urine flow rate were significantly higher than those before treatment in the three groups(P<0.05). Compared with group A and group C, the operation time of group B was significantly shorter, the bleeding volume was less, and the difference was statistically significant(P<0.05). There was no significantly difference in the total effective rate among the three groups(P>0.05). Compared with group A and B, the incidence of complications was lower in group C(P<0.05). 【Conclusion】 Transurethral resection of the prostate, transurethral plasma enucleation of the prostate and 1 470 nm laser vaporization have good results in the treatment of BPH, but the operation procedure of transurethral plasma enucleation of the prostate is simpler, the operation time is shorter, the amount of bleeding is less; the complications of 1 470 nm laser vaporization are less, and the operation can be stopped at any time, so it is suitable for use in BPH treatment of elderly patients or patients with more basic diseases.更多还原