论文部分内容阅读
目的:观察1 470 nm激光顺行法前列腺剜除术治疗前列腺增生症的疗效及对应激反应、生活质量的影响。方法:选择2018年7月至2019年5月日照市中心医院收治的良性前列腺增生症患者90例为研究对象，根据治疗方法的不同分为两组各45例。观察组采用1 470 nm激光顺行法前列腺剜除术。对照组采用经尿道等离子电切术。比较两组手术时间、膀胱冲洗时间、留置导尿管时间及住院时间；比较两组手术应激反应情况，包括磷酸肌酸激酶(CK)、C反应蛋白(CRP)、皮质醇及肾上腺素水平；随访6个月，比较两组国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率测定(Qmax)及残余尿测定(PVR)的差异；比较两组手术并发症发生率。结果:观察组手术时间明显长于对照组[(80.2±23.5)min比(69.5±19.2)min]，膀胱冲洗时间[(1.4±0.3)d比(1.7±0.4)d]、留置导尿管时间[(5.2±0.9)d比(6.2±1.1)d]及住院时间[(6.7±1.1)d比(8.3±1.6)d]明显短于对照组，差异均有统计学意义(n t＝4.576、4.025、4.719、5.528，均n P0.05)。n 结论:1 470 nm激光顺行法前列腺剜除术治疗前列腺增生症疗效可靠，患者应激反应小，术后恢复快。“,”Objective:To observe the effect of 1 470nm laser anterograde enucleation on benign prostatic hypertrophy (BPH), and its influence on stress response and quality of life.Methods:From July 2018 to May 2019, 90 patients with BPH diagnosed and treated by urology department in Rizhao Central Hospital were selected in the study.According to the different treatment methods, they were divided into two groups, with 45 cases in each group.In the observation group, 1 470nm laser anterograde enucleation of prostate was used.The control group was treated with transurethral plasma resection.The operation time, bladder flushing time, indwelling catheter time and hospitalization time of the two groups were compared.The stress responses of the two groups were compared, including CK, CRP, cortisol and adrenaline levels.The differences of IPSS score, QOL score, maximum urine flow rate (Qmax) and residual urine test (PVR) between the two groups were compared after 6 months of follow-up.The incidence of complications of the two groups was compared.Results:The operation time of the observation group was significantly longer than that of the control group[(80.2±23.5)min vs.(69.5±19.2)min], and the bladder washing time[(1.4±0.3)d vs.(1.7±0.4)d], indwelling catheter time[(5.2±0.9)d vs.(6.2±1.1)d] and hospitalization time[(6.7±1.1)d vs.(8.3±1.6)d] were significantly shorter than those of the control group (n t=4.576, 4.025, 4.719, 5.528, all n P0.05).n Conclusion:1 470nm laser anterograde enucleation of prostate is a reliable method for the treatment of BPH.