绿激光和2 μm激光治疗前列腺增生的疗效和安全性
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(深圳市龙岗中心医院泌尿外科,深圳 518116)

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R697

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Efficacy and safety of green laser and 2 μm laser in treatment of benign prostatic hyperplasia
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(Department of Urology, Longgang Central Hospital, Shenzhen 518116, China)

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    摘要:

    目的 对比绿激光和2 μm激光治疗前列腺增生的临床疗效和安全性,为临床医师选择提供有效参考依据。方法 回顾性分析2015年5月至2017年5月深圳市龙岗中心医院泌尿外科收治的前列腺增生患者171例,根据治疗方法不同分为绿激光组(n=80)和2 μm激光组(n=91),比较2组患者住院时间、导尿管留置时间、手术时间和并发症发生率,以及术前和术后6个月时的最大尿流率(MFR)、生活质量评分(QOL)和国际前列腺症状评分(I-PSS)。采用SPSS 17.0统计软件对数据进行分析。组间比较采用t检验或χ2检验。结果 绿激光组相比2 μm激光组患者手术时间[(62.8±18.5) vs(53.7±17.4)min]长,差异有统计学意义(P<0.05);术前和术后MFR[(7.38±1.02) vs(5.59±0.87)ml/s;(16.5±1.8) vs(17.0±2.4)ml/s]、QOL[(32.64±5.28) vs(33.62±4.17)分;(43.27±6.48) vs(44.28±6.71)分]、I-PPS[(21.82±3.67) vs(22.19±2.83)分;(7.20±1.30) vs(7.40±1.30)分]、并发症发生率[13.75%(11/80) vs 12.09%(11/91)]水平差异均无统计学意义(P>0.05)。结论 绿激光和2 μm激光治疗前列腺增生均安全有效,但各有特点,临床医师可根据患者情况选择。

    Abstract:

    Objective To evaluate the efficacy and safety of green laser and 2 μm laser in the treatment of benign prostatic hyperplasia (BPH) with a view to providing an effective reference for clinicians′ selection. Methods A total of 171 patients treated for benign prostatic hyperplasia in the Department of Urology of Longgang Central Hospital from May 2015 to May 2017 were divided into green laser group (n=80) and 2 μm laser group (n=91). The 2 groups were compared in the length of hospitalization, indwelling time of catheter, duration of operation, incidence of complications, maximum flow rate (MFR), quality of life (QOL) and the International Prostate Symptom Score (I-PSS) before and 6 months after operation. SPSS statistics 17.0 was used for data analysis, and Student′s t test or χ2 test for comparison between groups. Results Duration of operation in the green laser group was longer than that in the 2 μm laser group [(62.8±18.5) vs (53.7±17.4)min], the difference being statistically significant (P<0.05). No significant differences (P>0.05) were found between the 2 groups in preoperative and postoperative MFR [(7.38±1.02) vs (5.59±0.87)ml/s; (16.5±1.8) vs (17.0±2.4)ml/s], QOL [(32.64±5.28) vs (33.62±4.17)score], (43.27±6.48) vs (44.28±6.71)score, I-PPS [(21.82±3.67) vs (22.19±2.83)score; (7.20±1.30) vs (7.40±1.30)score], and the incidence of complications [13.75%(11/80) vs 12.09%(11/91)] . Conclusion Both green laser and 2 μm laser are safe and effective in the treatment of benign prostatic hyperplasia, each with its own advantages. The clinician may make a choice according to the patient′s condition.

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谢湘伟,邝世航,乐有为,冯建华.绿激光和2 μm激光治疗前列腺增生的疗效和安全性[J].中华老年多器官疾病杂志,2019,18(4):281~284

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  • 收稿日期:2018-12-29
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  • 在线发布日期: 2019-04-26
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