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目的探讨选择性绿激光治疗良性前列腺增生症(BPH)的疗效和安全性。方法具有手术指征的BPH患者82例,随机分为两组。应用选择性绿激光(PVP)治疗41例,采用经尿道前列腺切除术(TURP)治疗41例。观察两组的治疗效果。结果PVP组术中出血量、手术时间、术后膀胱冲洗时间、置尿管时间、住院时间以及手术并发症与TURP组比较差异均有统计学意义(P<0.05)。两组治疗后在IPSS,QOL,Qmax、RU等方面比较差异无统计学意义(P>0.05)。结论PVP治疗BPH手术操作简单安全,疗效确切,时间短,出血少,无大出血及液体吸收并发症,尤其对于高危患者,PVP术的优势更加明显。
Objective To investigate the efficacy and safety of selective green laser in the treatment of benign prostatic hyperplasia (BPH). Methods Eighty-two BPH patients with surgical indications were randomly divided into two groups. 41 cases were treated with selective green laser (PVP) and 41 cases were treated with transurethral resection of the prostate (TURP). Observed the treatment effect of two groups. Results The blood loss, operation time, postoperative bladder irrigation time, catheterization time, hospital stay and complications in PVP group were significantly different from those in TURP group (P <0.05). There was no significant difference in IPSS, QOL, Qmax and RU between the two groups after treatment (P> 0.05). Conclusions PVP is simple and safe for operation of BPH. The curative effect is definite, time is short, bleeding is less and no bleeding and fluid absorption complications are observed. Especially for high-risk patients, the advantages of PVP are more obvious.