|
|
|
| Effect of telectrovaporization and bipolar plasma kinetic resection in the treatment of prostatic hyperplasia |
| SUN Shujuan SHEN Hongmei WANG Ying▲ YU Chunhu XIN Xin LI Qin'e WANG Peipei LI Yuting |
| Urinary and Rehabilitation Center, Beijing Rehabilitation Hospital, Capital Medical University, Beijing 100144, China |
|
|
|
Abstract Objective To compare the clinical efficacy of telectrovaporization and bipolar plasma kinetic resection in the treatment of benign prostatic hyperplasia. Methods The clinical data of 120 patients who underwent prostate surgery in Beijing Rehabilitation Hospital, Capital Medical University from January 2013 to January 2016 were analyzed retrospectively. 60 patients treated with transurethral bipolar plasma kinetic resection were selected as the electric resection group, 60 patients treated with 2 μm laser vaporization cutting were selected as the laser group. The operation time, intraoperative bleeding, amount of irrigation fluid, postoperative bladder irrigation time, foley catheter indwelling time, time to ambulation, and average hospital stay, symptoms improvement situation of two groups were analyzed statistically. Results The international prostate symptom score (IPSS), life quality score (QOL), maximum urinary flow rate (Qmax), residual urine (RU) volume before and after operation between the two groups had no significant differences (P ＞ 0.05). The IPSS score, QOL score, Qmax and RU after operation in the two groups were all better than those before operation (P ＜ 0.01). The operation time of laser group was shorter than that of electric resection group (P ＜ 0.05), intraoperative amount of irrigation fluid and blood loss was less than that of electric resection group (P ＜ 0.01), the postoperative bladder irrigation time, foley catheter indwelling time and average hospital stay of laser group was shorter than those of electric resection group (P ＜ 0.01 or P ＜ 0.05). Conclusion Transurethral 2 μm laser and bipolar plasma kinetic resection are both effective methods for the treatment of benign prostatic hyperplasia, but transurethral 2 μm laser has shorter operative time, less intraoperative blood loss, less irrigation saline and shorter postoperative bladder irrigation time, indwelling catheter time, and hospital stay, which has obvious clinical advantages.
|
|
|
|
|
|
[1] Yao Z，Sun B，Zhou G，et al. Application of two micron laser vaporesection combined with transurethral resection of the prostate in treatment of benign prostatic hyperplasia：analysis of 340 cases [J]. Int J Clin Exp Med，2015，8（10）：19418-19423.
[2] Enikeev DV，Glybochko PV，Alyaev YG，et al. current laser technologies for the surgical treatment of prostatic hyperplasia [J]. Urologiia，2017，15（1）：108-113.
[3] 邓燕青，张春芳，李晓丹，等.视觉模拟版IPSS评分表的应用评价[J].中华泌尿外科杂志，2011，32（10）：691-694.
[4] 王蓓，高海莲，刘雪琴，等.WHO生存质量量表老年模块在我国前列腺增生症患者中的适用性研究[J].中华护理杂志，2008，43（4）：303-305.
[5] Karami H，Hassanzadeh-Hadad A，Fallah-Karkan M. Comparing Monotherapy with Tadalafil or Tamsulosin and Their Combination Therapy in Men with Benign Prostatic Hyperplasia：A Randomized Clinical Trial [J]. Urol J，2016，13（6）：2920-2926.
[6] 王荣，陈力，王雪刚，等.经尿道前列腺切除术后患者再次入院的诊治分析[J].中华腔镜外科杂志：电子版，2012，5（2）：103-106.
[7] 杨金辉，白铁男，孙建涛，等.经尿道前列腺绿激光选择汽化术与前列腺电切术近期临床疗效比较[J].实用医学杂志，2016，32（22）：3744-3747.
[8] 魏红兵，白涛，余文华，等.经尿道绿激光汽化术与电切术治疗高危前列腺增生症的疗效和安全性分析[J].临床外科杂志，2016，24（2）：108-110.
[9] 周洁，沈晓玲，曾德志.前列腺增生症患者经尿道电切术围手术期护理[J].齐齐哈尔医学院学报，2012，33（4）：544-545.
[10] 张群，代利平.前列腺增生症患者行经尿道前列腺电切术的围手术期护理[J].中外医学研究，2013，11（8）：103-104.
[11] 王裕中，王良龙，刘荣新，等.五标志沟法经尿道2μm激光前列腺汽化切除术治疗良性前列腺增生症效果分析[J].中国医药，2014，9（1）：93-96.
[12] 沈颖.经尿道前列腺电切术的围手术期护理[J].中外医学研究，2012，9（35）：128-129.
[13] 梁伟霞，苏丽凤.前列腺绿激光汽化术与等离电切术治疗良性前列腺增生的护理体会[J].微创医学，2015，10（6）：876-877.
[14] 吴美莲，袁艳梅，张花坪.经尿道等离子双极汽化前列腺电切术后膀胱痉挛的护理干预研究[J].现代医药卫生，2012，28（19）：2883-2885.
[15] 蔡星建，张慕淳，张茁，等.1470 nm激光前列腺剜除术治疗良性前列腺增生（附28例报告）[J].微创泌尿外科杂志，2016，8（5）：275-277.
[16] 钟伟，买铁军，李喆，等.PKRP与TURP前列腺电切术对性功能的影响程度[J].中国性科学，2014，23（11）：3-5.
[17] 杨国慧.经尿道等离子双极电切术治疗良性前列腺增生的临床效果[J].中国当代医药，2014，21（23）：27-29.
[18] 张翼飞，梁朝朝，江长琴，等.绿激光汽化剜除术治疗大体积前列腺增生的临床效果分析[J].安徽医学，2016， 37（3）：282-284.
[19] 邢兆辉.2 μm激光汽化切除术与等离子双极电切术治疗前列腺增生的疗效观察[J].中国老年保健医学，2016，14（2）：40-42.
[20] 王福科，杨俊锋.经尿道前列腺电汽化术联合电切术治疗高危前列腺增生症的临床分析[J].成都医学院学报，2015，10（5）：575-577，581.
[21] 及东林，李铁，周岩，等.双波长激光汽化切除术对良性前列腺增生患者的治疗效果及对性功能的影响[J].医学综述，2016，22（22）：4568-4570. |
|
|
|
