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目的总结经尿道2-μm激光治疗小体积良性前列腺增生(BPH)的疗效。方法小体积BPH患者64例,随机均分为经尿道2-μm激光组与经尿道前列腺汽化电切术(TURP)组,比较两组临床疗效和并发症发生情况。结果治疗后,2-μm激光组患者的国际前列腺症状评分、最大尿流率和残余尿量均优于TURP组(P<0.05)。2-μm激光组的并发症发生率为6.25%,低于TURP组的21.88%(P<0.05)。结论与TURP比较,2-μm激光治疗小体积BPH疗效较好,并发症较少。
Objective To summarize the efficacy of transurethral 2-μm laser in the treatment of small-volume benign prostatic hyperplasia (BPH). Methods Sixty-four patients with small volume BPH were randomly divided into two groups: transurethral 2-μm laser and transurethral vaporization of the prostate (TURP) group. The clinical efficacy and complications were compared between the two groups. Results After treatment, the international Prostate Symptom Score, maximum urinary flow rate and residual urine volume in 2-μm laser group were better than those in TURP group (P <0.05). The incidence of complications in 2-μm laser group was 6.25%, which was lower than 21.88% in TURP group (P <0.05). Conclusions Compared with TURP, 2-μm laser treatment of small volume BPH has better curative effect and less complications.