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目的探讨维拉激光前列腺剜除术与经尿道前列腺气化电切术(经尿道电切术)的临床疗效。方法 158例良性前列腺增生患者,按不同手术方式分为激光组和电切组,各79例。激光组采取维拉激光前列腺剜除术治疗,电切组采取经尿道前列腺气化电切术治疗。比较两种术式的优缺点。结果电切组手术时间为(50±5)min,术中出血量为(90±20)ml,术后牵拉尿管时间为(6±2)h,住院时间为(12±3)d;激光组手术时间为(70±13)min,术中出血量为(48±4)ml,术后均不需要牵拉尿管,住院时间为(3±1)d;两组术中出血量、术后尿管牵拉时间、手术时间及住院时间比较差异有统计学意义(P<0.05)。结论经尿道维拉激光前列腺剜除术是良性前列腺增生的一种安全、彻底、有效的治疗方法 ,与经尿道前列腺汽化电切术相比,其具有出血少、无水中毒等并发症的优势。
Objective To investigate the clinical efficacy of Vera laser prostatectomy and transurethral vaporization of the prostate (transurethral resection). Methods A total of 158 patients with benign prostatic hyperplasia (BPH) were divided into laser group and resection group (79 cases) according to different surgical methods. The laser group was treated with Vera laser prostatectomy, and the transurethral resection group was treated with transurethral vaporization of the prostate. Compare the advantages and disadvantages of two surgical procedures. Results The operative time was (50 ± 5) min in the resection group, (90 ± 20) ml in the operation group, (6 ± 2) h in the postoperative urethral catheterization and (12 ± 3) days in the postoperative period ; The operation time of the laser group was (70 ± 13) min, the amount of bleeding during the operation was (48 ± 4) ml, no need to pull the catheter after operation, the length of stay was (3 ± 1) d; Volume, postoperative catheter pull time, operation time and hospital stay were significantly different (P <0.05). Conclusions Transurethral vaporisation of Vera laser prostatectomy is a safe, thorough and effective treatment for benign prostatic hyperplasia. Compared with transurethral electrovaporization, transurethral vaporization has the advantages of less bleeding and no complications of water poisoning .