对比分析前列腺钬激光解剖性剜除术、前列腺电切术治疗小体积良性前列腺增生的效果

黄进军

【摘 要】目的：分析在小体积良性前列腺增生患者的治疗中运用前列腺钬激光解剖性剜除术（HoLEP）或者前列腺电切术（TURP）进行治疗的临床价值。方法：观察组患者采用HoLEP术治疗，同期对照组应用TURP术治疗。结果：术前两组的PVR、IPSS、Qmax对比（P>0.05），术后PVR、IPSS观察组较对照组更低，Qmax观察组较对照组更高（P<0.05）；术后并发症发生率观察组为5.41%，对照组为18.92%（P<0.05）。结论：对于小体积良性前列腺增生患者采用HoLEP术的治疗价值高于TURP术，前者更有利于改善患者的临床症状并降低术后并发症发生率。

【关键词】良性前列腺增生；小体积；HoLEP；TURP

Comparative analysis of the effects of anatomical enucleation of the prostate with holmium laser and electric resection of the prostate in the treatment of small-volume benign prostatic hyperplasia

Huang Jinjun

HuanggangGuanrui Hospital， Huanggang Hubei 438000， China

【Abstract】Objective：To analyze the clinical value of using holmium laser anatomical enucleation of the prostate （HoLEP） or transurethral resection of the prostate （TURP） in the treatment of small-volume benign prostatic hyperplasia.Methods：Patients in the observation group were treated with HoLEP surgery， while the control group was treated with TURP surgery during the same period.Results：The PVR， IPSS， Qmax of the two groups before operation were compared（P>0.05）， the postoperative PVR and IPSS of the observation group were lower thanthose ofthe control group， and the Qmax of the observation group was higher than that ofthe control group （P<0.05）；the the incidence of postoperative complication rate was 5.41% in the observation group， 18.92% in the control group（P<0.05）.Conclusion：The therapeutic value of HoLEP surgery for small-volume benign prostatic hyperplasia patients is higher than that of TURP surgery. The former is more conducive to improvepatients’ clinical symptoms and reduce the incidence of postoperative complications.

【Key？Words】Benign prostatic hyperplasia； Small size； HoLEP； TURP

良性前列腺增生在广大中老年男性中十分常见，患病后引起患者尿频、夜尿增多以及尿急等诸多症状，影响患者的生存品质。虽然部分患者经检查其前列腺增生的体积相对较小，然而下尿路症状表现显著，通过给予规范化的药物治疗后其下尿路症状表现未能获得显著的改善，所以需要采取外科手术治疗。以往对于良性前列腺增生患者主要应用TURP手术治疗，该手术的应用时间长，技术手段较为成熟且效果确切。近年来钬激光技术取得快速发展，在泌尿外科结石疾病患者的诊治中获得了非常广泛的应用[1]，然而关于该技术手段在前列腺增生症患者的治疗中相关研究报道数量较少。HoLEP是近年来对于前列腺增生患者进行治疗的新型技术手段，该手术的适应性广、创伤性较小。以下将进一步分析对于小体积良性前列腺增生患者采用HoLEP或TURP治疗的实际价值。

1.1 临床资料