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中华腔镜泌尿外科杂志(电子版) ›› 2023, Vol. 17 ›› Issue (05) : 490 -494. doi: 10.3877/cma.j.issn.1674-3253.2023.05.013

临床研究

前列腺增生并轻度尿道狭窄行去外鞘半导体激光汽化剜除与等离子电切的比较
韩广玮, 申雪晴, 吴涵潇, 曹炎武, 唐黎明()   
  1. 421002 湖南衡阳,联勤保障部队第922医院泌尿外科
  • 收稿日期:2022-10-28 出版日期:2023-10-01
  • 通信作者: 唐黎明
  • 基金资助:
    湖南省教育厅课题项目(20C1184)

Comparison of clinical effect of transurethral vaporization using diode laser and plamakinetic resction without resectoscope shealth for benign prostate hyperplasia with mild urethral stricture

Gangwei Han, Xueqing Shen, Hanxiao Wu, Yanwu Cao, Liming Tang()   

  1. Department of Urology, the 922nd Hospital of the Chinese People's Liberation Army Joint Logistic Support Force, Hengyang 421002, China
  • Received:2022-10-28 Published:2023-10-01
  • Corresponding author: Liming Tang
引用本文:

韩广玮, 申雪晴, 吴涵潇, 曹炎武, 唐黎明. 前列腺增生并轻度尿道狭窄行去外鞘半导体激光汽化剜除与等离子电切的比较[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2023, 17(05): 490-494.

Gangwei Han, Xueqing Shen, Hanxiao Wu, Yanwu Cao, Liming Tang. Comparison of clinical effect of transurethral vaporization using diode laser and plamakinetic resction without resectoscope shealth for benign prostate hyperplasia with mild urethral stricture[J/OL]. Chinese Journal of Endourology(Electronic Edition), 2023, 17(05): 490-494.

目的

比较去外鞘半导体激光汽化剜除术与去外鞘前列腺等离子电切术治疗前列腺增生并轻度尿道狭窄患者的临床疗效。

方法

回顾2016年1月至2021年12月联勤保障部队第922医院泌尿外科收治的BPH患者,在经尿道前列腺手术中发现进镜困难者71例,分成观察组39例与对照组32例。观察组采用去外鞘半导体激光汽化剜除联合耻骨上膀胱造瘘组织刨吸术治疗,对照组采用去外鞘双极等离子电切联合膀胱造瘘术。

结果

两组均手术成功,术后两组Qmax、RUV、IPSS均较术前改善(P<0.05),但组间差异无统计学意义(P>0.05),术后两组血清Na+差异无统计学意义(P>0.05)。但观察组手术时间、术后膀胱冲洗时间和尿管、膀胱造瘘管留置时间均短于对照组(P<0.05)。

结论

去外鞘半导体激光汽化剜除联合耻骨上膀胱造瘘组织刨吸术在BPH并轻度尿道狭窄患者的治疗中,可有效改善患者排尿情况,缩短术后恢复时间,优于去外鞘等离子电切术,可在临床中广泛应用。

Objective

To compare the clinical efficacy of transurethral vaporization using diode laser (DiLEP) without resectoscope shealth and plamakinetic resction (PKRP) without resectoscope shealth for benign prostatic hyperplasia (BPH) complicated with mild urethral stricture.

Methods

The clinic data of 71 cases with BPH in putting resectoscope difficulty treated during January 2016 and December 2021 in the 922nd Hospital of the Chinese People's Liberation Army Joint Logistic Support Force were retrospectively analyzed. The patients were divided into the observation group (n=39) and the control group (n=32). The observation group was undergoing DiLEP with resectoscope sheath removal and bladder colostomy, the control group was undergoing PKRP with resectoscope sheath removal and bladder colostomy.

Results

Surgeries of both groups were successful. The Qmax, RUV, IPSS of the two groups were improved after operations (P<0.05). There were no significant differences in Na+, IPSS, Qmax, RUV between two groups after operations (P>0.05). The operation time, bladder irrigation time, catheter detain time and bladder stoma time of observation group was less than the control group (P<0.05).

Conclusions

The DiLEP with resectoscope sheath removal and bladder incision in the treatment of BPH complicated with mild urethral stricture can improve urinary symptoms and shorten postoperative recovery time, and it is better than PKRP without resectoscope shealth. It is worth to popularize in clinical practice.

表1 两组前列腺增生患者一般临床资料比较(±s
表2 两组前列腺增生患者术中及术后情况比较(±s
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