Lancet:经尿道前列腺电切术 vs 铥激光经尿道前列腺汽化电切术治疗良性前列腺梗阻

2020-07-04 网络 网络

TURP和ThuVARP对术后12个月尿症状改善(IPSS)相当,TURP在Qmax方面占优,但未观察到预期的减少住院时间和并发症改善。

经尿道前列腺电切术(TURP)是治疗良性前列腺梗阻的标准手术。铥激光经尿道前列腺汽化电切术(ThuVARP)是一种较TURP具有优势的技术,可减少并发症和住院时间。近日研究人员比较了TURP与ThuVARP在男性下尿路症状或继发于良性前列腺梗阻的尿潴留中的差异。
 
研究在英国开展,具有下尿路症状或继发于良性前列腺梗阻的尿潴留患者随机接受ThuVARP或TURP。共同的主要结果是术后12个月的最大尿流率(Qmax)和国际前列腺症状评分(IPSS)。
 
410名患者参与研究,每个研究组205名。TURP在Qmax(TURP平均为23.2ml/s,ThuVARP为20.2ml/s;调整后的差异-3.12)方面较优,在IPSS方面等效(TURP的平均值为6.3,ThuVARP的平均值为6.4;调整后的平均值差为0.28)。两个研究组的平均住院时间为48小时。TURP组204例患者中91例(45%)和ThuVARP组203例患者中96例(47%)至少有一种并发症。
 
研究认为,TURP和ThuVARP对术后12个月尿症状改善(IPSS)相当,TURP在Qmax方面占优,但未观察到预期的减少住院时间和并发症改善。
 
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    2021-03-12 lifestar
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    2021-04-15 howi
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    2020-07-06 oliver169
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    2020-07-04 goodbing

    顶刊就是不一样,质量很高,内容精彩!学到很多

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