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在En-Bloc HoLEP中的脉冲调制:它真的很重要吗? 一个倾向得分与分析匹配

Friedrich Otto Hartung¹, Luisa Egen², Britta Gruene²

¹Department of Urology and Urologic Surgery, University Medical Center Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany. friedrich.hartung@umm.de.

World journal of urology

|March 14, 2024

概括

前列腺的霍尔激光除核 (HoLEP) 和前列腺的MOSES®激光除核 (MoLEP) 显示了类似的结果. 这两种程序都是安全和有效的治疗良性前列腺增生,并发症率低.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
最少侵入性的手术
激光技术激光技术激光技术

背景情况:

前列腺的霍尔激光核化 (HoLEP) 是对良性前列腺增生的一种标准手术治疗方法.
脉冲调制技术,如MOSES®,是HoLEP的最新进展,可能会带来好处.

研究的目的:

为了比较MOSES®激光前列腺核切除术 (MoLEP) 与传统的HoLEP的周围手术结果.
评估MoLEP在患有良性前列腺增生症的患者中的安全性和有效性.

主要方法:

从117名MoLEP患者收集了外科手术期间的数据.
根据前列腺体体积,年龄,BMI和抗凝剂使用,进行了与237名HoLEP患者匹配的倾向评分.
总共有234名患者被纳入最终分析.

主要成果:

在前列腺体体积,年龄,BMI或抗凝剂摄入量方面,没有观察到MoLEP和HoLEP组之间的显著差异.
操作时间,核化效率,静血时间和血红蛋白下降在两组之间是可比的.
两种手术都显示出低的并发症率,在克拉维恩-丁多分类或综合并发症指数中没有显著差异.

结论:

霍勒普和莫勒普表现出高核化效率和较短的手术时间.
在经验丰富的手中,HoLEP仍然是良性前列腺增生症的有效和安全治疗方法,无论脉冲调节技术如何.

关键词:

这是一种BPH.前列腺的内镜取核.在 HoLEP 里面.荷尔是荷尔的组成部分.摩西就是这样的.莫莱普 (MoLEP) 是一个前列腺增生症前列腺增生症

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