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[1]王鑫朋,刘春雨,张东正,等.铥激光前列腺剜除术与经尿道前列腺剜除术治疗大体积良性前列腺增生的临床疗效比较[J].天津医科大学学报,2017,23(01):47-50.
　WANG Xin-peng,LIU Chun-yu,ZHANG Dong-zheng,et al.Clinical effects of thulium vapoenucleation of the prostate versus transurethral plasmakinetic enucleation of the prostate on benign prostatic hyperplasia with large volume[J].Journal of Tianjin Medical University,2017,23(01):47-50.
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铥激光前列腺剜除术与经尿道前列腺剜除术治疗大体积良性前列腺增生的临床疗效比较(PDF)
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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
23卷
期数:
2017年01期
页码:
47-50
栏目:
临床医学
出版日期:
2017-01-16

文章信息/Info

Title:
Clinical effects of thulium vapoenucleation of the prostate versus transurethral plasmakinetic enucleation of the prostate on benign prostatic hyperplasia with large volume
文章编号:
1006-8147（2017）01-0047-04
作者:
王鑫朋; 刘春雨; 张东正; 张瑞珊; 邓晓敬; 马保敬; 孙二琳; 刘利维
?（天津医科大学第二医院泌尿外科，天津市泌尿外科研究所，天津 300211）
Author(s):
WANG Xin-peng; LIU Chun-yu;  ZHANG Dong-zheng;  ZHANG Rui-shan; DENG Xiao-jing ; MA Bao-jing ;  SUN Er-lin; LIU Li-wei
(Department of Urology, The Second Hospital ，Tianjin Medical University, Tianjin Institute of Urology, Tianjin 300211, China)
关键词:
前列腺增生; 铥; 激光治疗; 手术
Keywords:
prostatic hyperplasia ;  thulium ; laser therapy;  surgery
分类号:
R697.32
DOI:
-
文献标志码:
A
摘要:
目的 :比较经尿道铥激光前列腺剜除术（ThuVEP）和经尿道等离子前列腺剜除术（TUKEP）在治疗大体积前列腺增生（>80mL）的效果及安全性。方法： 136例前列腺增生患者被分成两组，分别进行了ThuVEP及TUKEP的治疗。观察并比较两组的血红蛋白、血清Na+、手术时间、术后留置尿管时间、术后住院时间、国际前列腺症状评分（IPSS）、生活质量评分（QOL）、最大尿流率（Qmax）、残余尿（PVR）及并发症等。结果：ThuVEP组血红蛋白下降值、血清Na+下降值、术后住院时间、术后保留尿管时间等较TUKEP组减少，有统计学意义，但是手术时间两组无统计学差异。两组患者术后IPSS评分、QOL评分、Qmax及PVR比较无统计学差异。两组术后并发症发生率无明显差异。结论：与TUKEP相比,在治疗大体积前列腺时ThuVEP更为安全，止血效果更好，失血量更少。
Abstract:
Objective: To evaluate the clinical effects and safety of thulium vapoenucleation of the prostate(ThuVEP)versus transurethral plasmakinetic enucleation of the prostate(TUKEP) on benign prostatic hyperplasia(BPH) with large volume(>80 mL). Methods: A total of 136 patients with BPH were randomized into two groups including patients who underwent ThuVEP and patients who underwent TUKEP.The hemoglobin levels，serum sodium，catheterization time，operation time，post-operation hospitalization time，the international prostate symptom score (IPSS)，quality of life score (QOL)，the maximum flow rate (Qmax)，the postvoid residual (PVR) and complications were observed in two groups. Results：The decline of hemoglobin levels and serum sodium，catheterization time，post-operation hospitalization time were significantly lower in ThuVEP group than those of TUKEP group， while the operation time was notsignificantly different. IPSS score,QOL score,Qmax and RUV were not significantly different after 6-month follow up between two groups. No statistically significant different in postoperative morbidity was found. Conclusion：ThuVEP may prove to be effective in treating large prostates with better hemostasis, less blood loss than TUKEP.

参考文献/References:

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备注/Memo

备注/Memo:
作者简介王鑫朋（1986-），男，硕士在读，研究方向：泌尿外科；通信作者：刘利维，E-mail: liulw@tijmu.edu.cn。
更新日期/Last Update: 2017-01-16