| 经尿道前列腺增生绿激光汽化术与汽化电切术的疗效比较 |
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| 引用本文： | 李健,冯起庆,张廷继,侯瑞鹏,张志华,李昭夷.经尿道前列腺增生绿激光汽化术与汽化电切术的疗效比较[J].天津医药,2011,39(3):212-214. |
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| 作者姓名： | 李健 冯起庆 张廷继 侯瑞鹏 张志华 李昭夷 |
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| 作者单位： | 天津市人民医院泌尿外科,300121 |
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| 摘 要： | 目的:评价经尿道前列腺选择性绿激光汽化术(PVP)与经尿道前列腺汽化电切术(TUVP)的疗效及安全性。方法:将良性前列腺增生(BPH)患者220例依所用治疗方法不同分为2组,分别行PVP(PVP组)和TUVP(TUVP组),比较2种术式的手术时间、术中出血量、近期疗效及并发症等情况。结果:2组术后国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)、剩余尿量均比术前明显改善(P<0.05),但2组上述指标之间比较差异无统计学意义(P>0.05)。TUVP手术操作时间短于PVP组,但差异无统计意义(P>0.05)。PVP组术中出血量少、拔除尿管早,优于TUVP(P<0.05)。术后随访6个月,2组前列腺症状评分及最大尿流率疗效相近。TUVP组术后血尿发生率较PVP组高。结论:与TUVP相比,PVP治疗BPH近期疗效相似,且具有手术过程安全、恢复快及并发症少等特点,是一种治疗BPH安全有效的理想微创术式。
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| 关 键 词： | 前列腺增生 经尿道前列腺切除术 激光疗法 生活质量 外科手术 微创性 |
Curative Effect between Greenlight Photoselective Vaporization and Transurethral Electrovaporization Resection of Prostate for Benign Prostatic Hyperplasia |
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| LI Jian,FENG Qiqing,ZHANG Tingji,HOU Ruipeng,ZHANAG Zhihua,LI Zhaoyi.Curative Effect between Greenlight Photoselective Vaporization and Transurethral Electrovaporization Resection of Prostate for Benign Prostatic Hyperplasia[J].Tianjin Medical Journal,2011,39(3):212-214. |
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| Authors: | LI Jian FENG Qiqing ZHANG Tingji HOU Ruipeng ZHANAG Zhihua LI Zhaoyi |
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| Institution: | LI Jian,FENG Qiqing,ZHANG Tingji,HOU Ruipeng,ZHANAG Zhihua,LI Zhaoyi Department of Urology,The Union Medicine Centre,Tianjin 300121,China |
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| Abstract: | Objective: To compare the therapeutic effects between the greenlight photoselective vaporization of prostate (PVP) and transurethral electrovaporization resection of prostate (TUVP) for the treatment of benign prostatic hyperplasia (BPH). Methods: Two hundred and twenty cases of BPH were treated with PVP or TUVP. Various parameters such as operation time,blood loss and complications were recorded and analyzed. Results: The international prostatic symptom score (IPSS),quality of life (QOL),maximum urinary fl... |
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| Keywords: | prostatic hyperplasia transurethral resection of prostate laser therapy quality of life surgical procedures minimally invasive |
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