经尿道前列腺电切术与2μm（铥）激光前列腺汽化切除术并发症的比较

目的比较分析经尿道前列腺电切术（TURP）与2μm（铥）激光前列腺汽化切除术（TmLRP）的并发症。方法分别用TURP及TmLRP治疗良性前列腺增生症（BPH）患者114例（TURP组）和82例（TmLRP组）。两组患者年龄、前列腺体积差异无统计学意义（均P＞0.05）。比较分析采用两种术式发生术中电切综合征、包膜破裂及术后严重膀胱痉挛、急性附睾炎、尿失禁、勃起功能障碍等并发症情况。结果 TmLRP组术中发生电切综合征、包膜破裂等并发症明显少于TURP组（P＜0.05）。术后1周内，TmLRP组发生严重膀胱痉挛、急性附睾炎并发症明显少于TURP组（P＜0.05）；术后1周～1个月内，TmLRP组发生术后继发性出血、严重膀胱刺激征、腺体残留导致排尿困难并发症明显少于TURP组（P＜0.05）；术后1～3个月内，TmLRP组发生尿失禁明显少于TURP组（P＜0.05）；术后3～6个月内，TmLRP组发生勃起功能障碍明显少于TURP组（P＜0.05）。结论 TmLRP组术中及术后并发症明显少于TURP组，是一种安全有效的手术方式。

Comparison of complications following transurethral resection versus thulium laser vaporesection of prostate

Objective To compare and analyze the complications of transurethral resection of the prostate （TURP） vs two-micron （thulium） laser vaporesection of the prostate （TmLRP）. Methods A total of 196 benigh prostatic hyperplasia （BPH） patients who were treated with TURP （n=114） and TmLRP （n=82） respectively in our department from January 2010 to October 2012 were enrolled in this study. The two groups had no significant difference in age and prostate volume （P〉0.05）. The intra-operative complications, such as transurethral resection syndrome and capsular rupture, and the post-operative complications, including severe cystospasm, acute epididymitis, urinary incontinence, and erectile dysfunction were compared and analyzed between the two groups. Results The incidences of intra-operative transurethral resection syndrome and capsular rupture were obviously less in TmLRP group than in TURP group （P〈0.05）. Within one week after operation, TmLRP group had obviously less incidences of severe bladder spasm and acute epididymitis than TURP group （P〈0.05）. Within one week to one month after operation, secondary hemorrhage, severe bladder irritation, and dysuria due to residual prostate tissue were more common in TURP group than in TmLRP group （P〈0.05）. Within one to three months after operation, group TmLRP had less urinary incontinence than TURP group （P〈0.05）. Within three months to six months after operation, there were obviously less erectile dysfunction occurred in TmLRP group than in TURP group （P〈0.05）. Conclusion TmLRP results in significantly less intra-operative and post-operative complications than TURP, and it is a safe and efficient approach for the treatment of BPH.