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目的:探讨前列腺钬激光剜除术与电切术的安全性及疗效情况,为前列腺增生的临床治疗提供理论依据。方法:本研究选取了2012年4月至2013年4月我院收治的160例前列腺增生患者作为研究对象,将160例患者随机分为对照组和观察组,每组各80例,对照组患者采用经尿道前列腺电切术治疗,观察组患者采用钬激光前列腺剜除术治疗,对比两组患者的临床疗效及安全性。结果:与对照组相比,观察组患者的手术时间及住院时间明显缩短,术中出血量及冲洗液体积明显减少(P<0.05)。两组患者术后IPSS、QOL、Qmax无明显差异。观察组患者的术后并发症发生率为5.0%,较对照组的16.3%明显降低(P<0.05)。结论:前列腺钬激光剜除术与电切术的疗效相当,但前列腺钬激光剜除术的安全性更高。
Objective: To investigate the safety and efficacy of holmium laser excision and resection of the prostate to provide a theoretical basis for the clinical treatment of benign prostatic hyperplasia. Methods: 160 patients with benign prostatic hyperplasia treated in our hospital from April 2012 to April 2013 were selected as the research object. 160 patients were randomly divided into control group and observation group, 80 cases in each group. Patients in the control group Transurethral resection of the prostate was used to treat the patients in the observation group. The patients were treated with holmium laser prostatectomy, and the clinical efficacy and safety were compared between the two groups. Results: Compared with the control group, the operation time and hospitalization time in the observation group were significantly shortened, the amount of bleeding and the volume of the irrigation fluid decreased significantly (P <0.05). There were no significant differences in IPSS, QOL and Qmax between the two groups. The incidence of postoperative complications in the observation group was 5.0%, which was significantly lower than that in the control group (16.3%, P <0.05). Conclusions: The efficacy of holmium laser prostatectomy and resection is similar, however, the safety of holmium laser prostatectomy is higher.