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大功率绿激光选择性前列腺汽化术与电切术疗效比较
  • ISSN号:1001-9448
  • 期刊名称:《广东医学》
  • 时间:0
  • 分类:R697.32[医药卫生—泌尿科学;医药卫生—临床医学;医药卫生—外科学]
  • 作者机构:[1]广东省东莞市人民医院泌尿外科,广东东莞523000, [2]广州医学院第一附属医院海印微创中心,广东广州510000, [3]广州市第一人民医院泌尿外科,广东广州510180
  • 相关基金:国家自然科学基金资助项目(30872960);国家高技术研究发展计划(863计划)资助项目(2006AA02A245);广东省自然科学基金资助项目(04003650).
中文摘要:

目的比较研究经尿道绿激光选择性前列腺汽化术(photoselective vaporization of the prostate,PVP)与经尿道前列腺电切术(TURP)的疗效。方法将496例良性前列腺增生(BPH)患者分为两组,255例行PVP术,241例行TURP术,比较两组的手术时间、导尿管留置时间、术后住院天数、手术并发症。随访3个月比较两组最大尿流率(Qmax)、剩余尿量(PVR)、国际前列腺症状评分(IPSS)、生活质量评分(QOL)等指标的变化。结果PVP组、TURP组的手术时间、导尿管留置时间、术后住院天数分别为(54.9±20.O)min及(45.1±18.0)min、(1.1±0.2)d及(3.4±0.3)d、(3.2±1.1)d及(8.8±1.3)d,组间比较差异有统计学意义(P〈0.05)。术后3个月242例PVP患者和226例TURP患者获随访,Qmax、PVR、IPSS、QOL较术前均有改善,差异有统计学意义(P〈0.01);组间比较差异无统计学意义(P〉0.05)。结论PVP术与TURP术相比.手术安全性更好.疗效相似。

英文摘要:

Objective To compare the efficacy between photoselective vaporization of the prostate of green laser with high- power and transurethral resection of the prostate (TURP). Methods Four hundred and ninety-six cases of BPH were divided into two groups, in which 255 cases were given PVP and 241 were given TURP. The operating time, catheterization time, postoperative hospitalization days, complications of two groups were compared. After the follow-up for 3 months, the changes of Qmax, PVR, OPSS, QOL were compared. Results The operating time, catheterization time, postoperative hospitalization days in PVP and TURP groups were (54.9±20.0) min and (45.1±18.0) min, (1.1±0.2) d and (3.4±0.3) d, (3.2± 1.1) d and (8.8±1.3) d, respectively. There were significant differences between two groups (P 〈 0. 05). After 3 months, 242 cases of PVP and 226 cases of TURP were followed up; Qmax, VR, IPSS and QOL improved significantly compared with preoperation, the differences were significant (P 〈 0.01). No significant difference was found compared between the two groups. Conclusion PVP is superior to TURP in safety and as efficacious as TURP.

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期刊信息
  • 《广东医学》
  • 北大核心期刊(2011版)
  • 主管单位:广东省卫生和计划生育委员会
  • 主办单位:广东省医学学术交流中心
  • 主编:苏焕群
  • 地址:广州市惠福西路进步里2号之6
  • 邮编:510180
  • 邮箱:gdyx1963@163.com zhuangxw@126.com
  • 电话:020-81906074 81865066
  • 国际标准刊号:ISSN:1001-9448
  • 国内统一刊号:ISSN:44-1192/R
  • 邮发代号:46-66
  • 获奖情况:
  • 中国科技论文统计源期刊,美国《化学文摘》(CA)收录期刊
  • 国内外数据库收录:
  • 美国化学文摘(网络版),日本日本科学技术振兴机构数据库,中国中国科技核心期刊,中国北大核心期刊(2004版),中国北大核心期刊(2008版),中国北大核心期刊(2011版),中国北大核心期刊(2014版)
  • 被引量:70380