经尿道前列腺钬激光剜除术与经尿道前列腺电切术治疗良性前列腺增生患者的临床效果及对前列腺功能、性功能的影响比较

doi:10.3969/j.issn.1001-8131.2025.02.005

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Abstract Objective To observe the clinical effects of holmium laser enucleation of the prostate（HoLEP）and transurethral resection of the prostate（TURP）in the treatment of benign prostatic hyperplasia（BPH）patients and their impacts on prostate function and sexual function.Methods The control group（n=34）was treated with TURP,while the observation group（n=34）was treated with HoLEP.The surgical-related indicators,prostate symptoms（IPSS,QOL）,and sexual function（IIEF-5,EHGS）scores,as well as the occurrence risks of complications（secondary bleeding,urinary incontinence,urinary tract infection,and bladder irritation symptoms）were compared between the two groups.Results Compared with the control group,the observation group had better surgical indicators（t=-11.903,P=0.000;t=-11.801,P=0.000;t=-16.369,P=0.000）.After treatment,the IPSS and QOL scores of all patients decreased（P<0.05）,and the observation group was superior to the control group（t=-14.349,P=0.000;t=-7.969,P=0.000）;the IIEF-5 and EHGS scores increased（P<0.05）,and the observation group was superior to the control group（t=9.098,P=0.000;t=8.563,P=0.000）.The postoperative complication rates of the two groups were 5.88% and 26.47%,respectively,and the observation group was lower（χ²=5.314,P=0.021）.Conclusion HoLEP has a good clinical effect in the treatment of BPH,can effectively reduce intraoperative blood loss,shorten recovery time,improve prostate symptoms and sexual function of patients,and has high safety,which is worthy of promotion.

Key words： Benign prostatic hyperplasia Transurethral holmium laser enucleation of the prostate Transurethral resection of the prostate

Received: 18 February 2025

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R697+.3

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	Articles by authors
	Hu Sen
	Ma Youcai
	Jing Qinxiang
	Duojiecairang

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Hu Sen,Ma Youcai,Jing Qinxiang, et al. Comparison of the Clinical Effects of Transurethral Prostatic Hollium Laser Excision and Transurethral Prostectomy in Patients with Benign Prostatic Hyperplasia and Its Impact on Prostate Function and Sexual Function[J]. journal1, 2025, 45(2): 15-17.

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http://www.hrbyybjb.org.cn/EN/10.3969/j.issn.1001-8131.2025.02.005 OR http://www.hrbyybjb.org.cn/EN/Y2025/V45/I2/15

[1] 卢林杰,谢剑云.中医治疗良性前列腺增生症临床研究进展[J].实用中医药杂志,2023,39(9):1916-1919.
[2] 胡永涛,邹志辉,梁朝朝.前列腺增生外科治疗新进展[J].中华腔镜泌尿外科杂志(电子版),2021,15(1):84-88.
[3] LERNER LB,MCVARY K T,BARRY M J,et al.Management of lower urinary tract symptoms attributed to benign prostatic hyperplasia:AUA guideline PARTII-surgical evaluation and treatment.erratum[J].J Urol,2022,207(3):818-826.
[4] 程伟平,张飞,齐慧.纳布啡联合舒芬太尼对经尿道前列腺电切术后镇痛的效果[J].西北药学杂志,2023,38(3):131-135.
[5] 袁清,宋涛,董强,等.经尿道钬激光前列腺剜除术治疗良性前列腺增生专家共识[J].标记免疫分析与临床,2023,30(5):729-735.
[6] 黄健. 中国泌尿外科和男科疾病诊断治疗指南:2019版[M].北京:科学出版社,2020:205-212.
[7] 纪科,孟涛.经尿道前列腺钬激光剜除术治疗对前列腺增生症患者尿控恢复及血清PSA、PGE2水平的影响[J].检验医学与临床,2023,20(8):1038-1041,1045.
[8] 陈增谋,梁荣杰,陈芬波.腹腔镜前列腺癌根治术后勃起功能障碍的影响因素研究[J].中国性科学,2023,32(4):33-36.
[9] 魏小辉,顾奕波.经尿道前列腺钬激光剜除术与经尿道前列腺电切术对良性前列腺增生患者前列腺功能、氧化应激指标及性功能的影响比较[J].中华男科学杂志,2024,30(8):717-721.
[10] 叶大勇,梁勇,陈炜,等.生物反馈法联合甲睾酮、氟西汀治疗心理性性功能障碍的效果及勃起功能、性激素水平变化[J].疑难病杂志,2022,21(5):512-517.
[11] 周先明,疏仁义,李建.血清炎症指标对老年BPH患者术后尿路感染的预测价值[J].中国老年学杂志,2021,41(15):3227-3230.
[12] 熊敏,张珩,李涛,等.良性前列腺增生患者行经尿道前列腺电切术治疗是否有效的临床预测模型[J].中国性科学,2021,30(6):4-7.
[13] 李心雨,何永冠.右美托咪定复合丙泊酚对经尿道前列腺电切术患者血流动力学、全麻苏醒期躁动及认知功能的影响[J].陕西医学杂志,2023,52(11):1567-1570,1582.
[14] 郑培. 经尿道前列腺钬激光剜除术治疗大体积良性前列腺增生的疗效[J].川北医学院学报,2023,38(6):835-838.
[15] 邱俊,倪路华,余良智,等.经尿道钬激光前列腺剜除术与经尿道前列腺等离子双极电切术治疗中等体积良性前列腺增生的效果及安全性比较[J].实用临床医学,2024,25(3):24-29.
[16] 徐培. 经尿道前列腺钬激光剜除术与前列腺电切术治疗良性前列腺增生的近期效果和安全性比较研究[J].河南外科学杂志,2024,30(2):79-81.
[17] 张伟昌. 经尿道钬激光剜除术与经尿道等离子电切术治疗良性前列腺增生的疗效分析[J].系统医学,2024,9(10):123-126.
[18] 黄卫,朱礼乐,汝峰,等.远端尿道黏膜环切断在经尿道钬激光前列腺剜除手术治疗良性前列腺增生中的应用[J].中国内镜杂志,2021,27(7):31-35.