经尿道160 W绿激光气化术与电切术治疗前列腺增生的疗效比较

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目的:观察比较经尿道160 W绿激光气化术与电切术治疗前列腺增生的疗效。方法:选取确诊为良性前列腺增生症患者100例,按照手术方式分为观察组(41例)和对照组(59例),观察组行160 W绿激光气化术,对照组行电切术,比较两组患者疗效。结果:观察组术中出血量、留置尿管时间、膀胱冲洗时间及住院时间等指标水平与对照组比较,均差异有统计学意义(P<0.05);两组患者术后IPSS、QOL、Qmax均较术前明显改善(P<0.05),但两组间差异无统计学意义(P>0.05)。结论:经尿道160 W绿激光前列腺气化术治疗前列腺增生症安全有效,较经尿道前列腺电切术具有出血少、恢复快等优势。 Objective: To observe the curative effect of transurethral 160 W green laser vaporization and resection on benign prostatic hyperplasia. Methods: 100 cases of benign prostatic hyperplasia (BPH) were selected and divided into observation group (41 cases) and control group (59 cases) according to the operation mode. The observation group received 160 W green laser vaporization, Compare the efficacy of two groups of patients. Results: The levels of blood loss, indwelling catheter time, bladder irrigation time and hospital stay in the observation group were significantly different from those in the control group (P <0.05). The postoperative IPSS, QOL, Qmax (P <0.05), but there was no significant difference between the two groups (P> 0.05). Conclusion: Transurethral vaporization of 160 W green laser in the treatment of benign prostatic hyperplasia is safe and effective. Compared with transurethral resection of prostate, it has the advantages of less bleeding and faster recovery.
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