前列腺内镜取核的应用趋势和研究热点:一个图书统计和可视化分析
Xiao-Da Lan1, Zhuo-Yang Yu1, Rui Jiang1
1Department of Urology, Institute of Urology, National Research Center for Genitourinary Oncology, Peking University First Hospital, Peking University, Beijing, 100034, China.
World journal of urology
|February 26, 2025
概括
前列腺内透镜 (EEP) 是一个不断增长的BPH治疗方法. 研究趋势表明,霍尔激光核化 (HoLEP) 是最受研究的,但其他技术需要高质量的试验.
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
- 图书统计分析 图书统计分析
背景情况:
- 良性前列腺增生症 (BPH) 管理依赖于有效的手术选择.
- 前列腺内透镜 (EEP) 已经成为BPH的首选治疗方式.
研究的目的:
- 进行对前列腺内镜取核 (EEP) 研究的文献分析.
- 确定BPH治疗EEP中的应用趋势和研究热点.
主要方法:
- 在科学网上对739篇英语出版物 (1989-2023) 的图书统计分析.
- 检查包括holmium激光取核 (HoLEP),thulium激光取核 (ThuLEP/ThuFLEP) 和双极/单极透尿管取核 (b-TUEP/m-TUEP) 在内的技术.
- 使用VOSviewer,CiteSpace和R包"bibliometrix"进行数据分析.
主要成果:
- 观察到EEP出版物的持续增加.
- 霍尔激光取核 (HoLEP) 是研究最多的技术,其次是图激光取核 (ThuLEP) 和双极透尿管取核 (b-TUEP).
- 有限的高质量随机对照试验 (RCT) 存在于GreenLight激光取核 (GreenLEP),二极管激光取核 (DiLEP) 和单极透尿管取核 (m-TUEP). 中国,美国和德国在出版物方面处于领先地位.
- 新兴的研究重点是术后过渡性尿失禁 (TUI) 和机器人辅助简单前列腺切除术 (RASP) 的比较.
结论:
- 前列腺内镜取核 (EEP) 越来越多地被接受为BPH治疗.
- 未来的研究应该优先考虑高质量的RCT,用于较少探索的EEP技术.
- 研究降低术后短暂尿失禁 (TUI) 的策略,并将EEP与机器人辅助简单前列腺切除 (RASP) 进行比较,对于优化BPH手术管理至关重要.
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