李俊卿

[摘要] 目的 研究在前列腺增生患者中應用经尿道钬激光前列腺剜除术与前列腺电切术的临床价值。方法  以双盲法对2017年8月—2019年8月期间方便选取的30例前列腺增生患者实施分组，常规组（n=15）使用经尿道钬激光前列腺电切术，实验组（n=15）使用经尿道钬激光前列腺剜除术，比较实验组与常规组前列腺增生患者临床治疗效果。结果 实验组前列腺增生患者冲洗液用量、尿管留置时间、手术时间、膀胱冲洗时间、前列腺切除量、术中出血量分别为（22.54±2.33）mL、（2.02±0.63）d、（55.55±4.55）h、（15.24±4.22）h、（16.32±2.11）g、（131.54±6.54）mL与常规组（52.54±2.54）mL、（3.33±0.54）d、（71.54±5.32）h、（40.54±5.55）h、（27.21±2.56）g、（217.54±5.69）mL比较，两组比较差异有统计学意义（t=33.709、6.115、 8.845、14.054、12.713、38.423，P<0.05）。实验组前列腺增生患者并发症发生率6.67%显著低于常规组数据（40.00%），两组比较差异有统计学意义（χ2=4.658，P=0.031<0.05）。结论 将经尿道钬激光前列腺剜除术应用在前列腺增生患者中具有显著价值。

[关键词] 经尿道钬激光前列腺剜除术;前列腺电切术;前列腺增生;长期临床疗效

[中图分类号] R699          [文献标识码] A          [文章编号] 1674-0742（2020）06（a）-0034-03

Comparative Analysis of Long-term Clinical Efficacy of Transurethral Holmium Laser Enucleation of the Prostate and Resection

LI Jun-qing

Department of Surgery， Laizhou Municipal Hospital， Laizhou， Shandong Province， 261400 China

[Abstract] Objective To study the clinical value of transurethral holmium laser enucleation of the prostate and thoracic resection of the prostate in patients with benign prostatic hyperplasia. Methods Thirty patients with benign prostatic hyperplasia were convenient selection performed by double-blind method from August 2017 to August 2019. The conventional group （n=15） used transurethral holmium laser prostatectomy and the experimental group （n=15）. Transurethral holmium laser enucleation of the prostate was used to compare the clinical treatment effect of patients with benign prostatic hyperplasia in the experimental group and the conventional group. Results The amount of irrigation fluid， urinary catheter indwelling time， operation time， bladder irrigation time， prostate resection volume， and intraoperative blood loss in the experimental group of patients with benign prostatic hyperplasia were （22.54±2.33）mL、（2.02±0.63）d、（55.55±4.55）h、（15.24±4.22）h、（16.32±2.11）g、（131.54±6.54）mL compared with the conventional group （52.54±2.54）mL、（3.33±0.54）d、（71.54±5.32）h、（40.54±5.55）h、（27.21±2.56）g、（217.54±5.69）mL，the difference was statistically significant（t=33.709、6.115、8.845、14.054、12.713、38.423，P<0.05）. The incidence of complications in patients with benign prostatic hyperplasia in the experimental group was 6.67%， which was significantly lower than the data in the conventional group （40.00%）. the difference was statistically significant（χ2=4.658，P=0.031<0.05）. Conclusion Transurethral holmium laser prostate enucleation has significant value in patients with benign prostatic hyperplasia.

[Key words] Transurethral holmium laser enucleation of the prostate; Resection of the prostate; Prostate hyperplasia; Long-term clinical efficacy

前列腺增生症属于泌尿外科常见的临床疾病，是在前列腺间质与前列腺体部位发生的病理性增生疾病。现阶段前列腺电切术（Transurethrue Resection of Prostate，TURP）属于前列腺增生症治疗的金标准[1-2]，前列腺电切术具有较多术中出血量及其并发症。随着近年来医疗技术的全面发展，在前列腺增生症治疗中已经广泛应用钬激光前列腺剜除术，相比较TURP，钬激光前列腺剜除术（（holmium laser enucleation of the prostate，HoLEP）具有更好的术后效果及其安全性。该文主要分析了经尿道钬激光前列腺剜除术与经尿道钬激光前列腺电切术应用在2017年8月—2019年8月期间参与收治的30例前列腺增生患者中的临床作用及其价值。

1  资料与方法

1.1  一般资料

该文项目收入对象即为方便选取该院参与诊治的30例前列腺增生患者，以双盲法进行分组计算，实验组（n=15），最大年龄88岁，最小年龄68岁，中位年龄（78.54±4.22）岁;最长病程6年，最短病程1年，中位病程为（3.55±0.22）年。……