在前列腺非常大 (> 175毫升) 的男性中,HoLEP与ThuFLEP对比
Halil Cagri Aybal1, Mehmet Yilmaz2, Irfan Safak Barlas3
1Polatlı Duatepe State Hospital, Clinic of Urology, Ankara, Turkey.
World journal of urology
|February 7, 2025
概括
前列腺的霍尔激光除核 (HoLEP) 和前列腺的土纤维激光除核 (ThuFLEP) 有效地治疗大前列腺. 这两种微创手术在良性前列腺阻塞方面显示出相似的安全性和功能结果.
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
- 激光疗法是一种激光疗法.
背景情况:
- 良性前列腺阻塞 (BPO) 显著影响生活质量.
- 管理非常大的前列腺 (>175毫升) 提出了独特的外科手术挑战.
- 激光取核技术为BPO治疗提供了最少侵入性的选择.
研究的目的:
- 在前列腺非常大 (>175毫升) 的患者中比较HoLEP和ThuFLEP对BPO的疗效和安全性.
- 评估术前和术后的功能结果以及这两种手术的并发症率.
主要方法:
- 对前列腺>175毫升接受HoLEP (n=72) 或ThuFLEP (n=85) 的患者的回顾性分析.
- 国际前列腺症状评分 (IPSS),最大尿流率 (Qmax),空虚后残留量 (PVR) 和生活质量 (QoL) 在1,6和12个月的比较.
- 术前参数和术后并发症的分析,包括尿失禁 (UI).
主要成果:
- 在手术后,HoLEP和ThuFLEP都显示了IPSS,Qmax,PVR和QOL的显著改善.
- 在6个月和12个月的功能结果 (IPSS,Qave,PVR,QoL) 中,没有观察到HoLEP和ThuFLEP之间的显著差异.
- 这两种手术都显示了相对较低的术后并发症率,并且在1,6或12个月后尿失禁没有显著差异.
结论:
- HoLEP和ThuFLEP是治疗非常大的前列腺的安全有效的微创手术选择.
- 这两种激光技术在功能参数和低并发症率方面都提供了可比的改进.
- 在前列腺非常大的患者中,HoLEP和ThuFLEP可以作为BPO的替代性手术方法.
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