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前列腺核化与前列腺的光选择性蒸发与简单的前列腺切除术:性能,功能结果和并发症

Léa Perez¹, Bastien Gondran Tellier¹, Gilles Karsenty¹

¹Aix-Marseille Université, Service de Chirurgie urologique et de transplantation rénale de la Conception, AP-HM, Marseille, France.

The French journal of urology

|December 26, 2025

概括

对比良性前列腺增生 (BPH) 的手术技术,激光核化 (LE) 提供更快的治疗和更高的满意度比光选择性前列腺蒸发 (PVP) 的前列腺100mL以下的前列腺. 简单的前列腺切除术 (SP) 最快,但住院时间更长,输血率更高.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
手术技术手术技术
良性前列腺增生症 (BPH) 管理

背景情况:

该研究评估了BPH手术技术在一个中心的演变.
评估的技术包括前列腺的光选择性蒸发 (PVP) 和激光取核 (LE/HoLEP/GreenLEP).
目标是比较不同手术方法的疗效,治疗前列腺体积和患者满意度.

研究的目的:

为了比较简单的前列腺切除术 (SP),激光核化 (LE) 和前列腺光选择性蒸发 (PVP) 在BPH治疗中的疗效.
分析治疗速度,患者满意度和与每个手术技术相关的并发症率.
根据前列腺体积来确定最佳的手术方法.

主要方法:

一项回顾性单一中心研究包括1049名在2009年至2022年期间接受治疗的患者.
患者接受了简单的前列腺切除术 (SP),激光核化 (LE) 或前列腺的光选择性蒸发 (PVP).
主要终点:治疗速度 (克/小时);次要终点:满意度,输血率,再住院和失禁.

主要成果:

SP是最快的 (60mL/h),但住院时间更长 (9天) 和输血率更高 (10.9%).
LE (30mL/h) 和PVP (24mL/h) 显示了可比的住院时间 (4天) 和较低的输血率.
患者满意度最高的是LE (90.8%),其次是SP (84.5%) 和PVP (78.6%).

结论:

所有BPH手术技术都显示出高患者满意度.
SP对大前列腺 (>100mL) 有效,但与较高的发病率有关.
对于较小的前列腺 (<100mL),LE比PVP更有效和更令人满意.

关键词:

绿色LEP 绿色LEP 绿色LEP 绿光激光去核前列腺的前列腺.在 HoLEP 里面.前列腺的霍尔激光去核.前列腺的光选择性蒸发.前列腺增生症前列腺增生症简单的前列腺切除术这是VEPEP.前列腺高 bénigne 的前列腺增大.前列腺细胞核的内视核.

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