A Comparative Study On The Clinical Results Between Greenlight Photoselective Vaporization Of The Prostate (PVP) And Transurethral Resection Of The Prostate (TURP)

Objective:The benign prostate gland proliferation (benign prostatic hyperplasia, BPH),one kind of common disease, causes the old age male urination barrier. The BPH treatment mainly includes the observation waiting, the pharmacological treatment, the opening surgery treatment and micro creates the surgery to treat four broad headings. The treatment goal is to improve the patient quality of life, simultaneously also plays the protection kidney function the role. (Transurethral resection of the prostate, TURP) regards as after the urethra prostate gland electrotomy treats BPH"the golden standard", but bleeds, the syndrome after the urethra electricity (TURS) and so on, occur in many patients, Along with Laser Technology in clinical application and gradually mature, demonstrated in certain aspects surpasses TURP. This research mainly aimed at the traditional TURP technique and the PVP technique treatment prostate gland proliferation sickness clinical curative effect carries on the synthesis to compare, and provided the instruction for the clinical choice surgery therapeutic schedule.Methods:200 patients were enrolled in thethird affiliated hospital of Nanchang University and the fourth affiliated hospital of Nanchang University from Jan 2007 to Jan 2009. The surgery is can carry on PVP and Professor skilled TURP, because reduces the difference which as far as possible the operator factor creates. Two group of patient altogether 200 examples, after before summarizing the selected patient existing technique, the technique, in the clinical material and 6 month's revisit material, the TURP group and the PVP group complete the technique latter 6 month revisit the patient respectively is 89 examples, 83 examples, the final review research's target includes: Before two group of patient techniques, technique and technique latter 6 month-long related clinical target, after international prostate gland symptom grading (IPSS), quality of life grading (QOL), biggest urine rate of discharge (Qmax), remaining amount of urine (PVR), technique and technique urinary bladder flush time, technique and technique blood sodium level, hemoglobin level, surgery time, catheter leaving alone time, technique is hospitalized the time and so on. Obtain the data through the consult medical record and the telephone revisit, and carries on statistics analysis, compared with two group of short-term clinical curative effects.Results:1 There was no statistically difference among TURP group and PVP group technique, ordinary circumstances,two groups of ages, technique, prostate gland volume (PV), technique, IPSS grading, QOL grading, remaining amount of urine (PVR), biggest urine rate of discharge (Qmax) difference non-statistics significance (P>0.05).2 There was no statistically significant difference among PVP group technique, technique, blood sodium level comparison difference non-statistics significance (P>0.05). There was statistically significant difference among TURP group technique, technique, the blood sodium comparison difference has statistics significance (P<0.05). The group the comparison, before the TURP group and the PVP group technique, the blood sodium level compares the non-statistics significance (P>0.05), but technique latter two group of blood sodium level comparison difference Has statistics significance (P<0.05), after the technique, the blood sodium drop degree two group of comparison differences also have statistics significance (P<0.05). After before two group of patient techniques, technique, the hemoglobin comparison difference has statistics significance (P<0.05), technique first two group of between hemoglobin comparison difference non-statistics significance (P>0.05), after technique latter two groups of between hemoglobins and technique, the hemoglobin drop degree comparison difference has statistics significance (P<0.05), the TURP group reduces obviously.3 There was statistically significant difference among two groups of techniques volume of blood, surgery time, technique, after urinary bladder flush time, technique, after ureter leaving alone time, technique, is hospitalized time each target to compare the difference to have statistics significance (P<0.05).4 There was statistically significant difference among two group of patient technique latter 6 month Qmax, IPSS, QOL compare the technique, to have the distinct improvement, has statistics significance after the comparison difference (P<0.05).5 There was no statistically significant difference among two group of patient technique transfuses blood the situation after the comparison difference non-statistics significance (p>0.05). Two groups even have not had complications and so on TURS, death, involucrum perforation, urinary bladder damage, rectum damage.6 There was no statistically significant difference among TURP groups and PVP group technique, the complication like long-term urine incontinence, the urethral stricture, the sequential hemorrhage, the BPH recrudescence, go against the flow the semination not to have statistics significance after the comparison difference (P>0.05).Conclusions:1, compared with the PVP technique, the surgery security of TURP technique is similar, and surgery curative effect not remarkable difference in the near future.2 PVP techniques is an ideal method due to low occurrences of complications, short period of recovery.3 PVP the surgery simplicity of operator, in the technique bleed few, the security is high, easy to grasp, requests lowly to doctor.4 regarding the extra large type front row glandular tissue, the PVP excision organization is slow, the surgery time excels in TURP obviously.5 regarding the specific weight prostate gland proliferation, PVP is not suitable makes the first choice the method of treatment, may as the TURP one kind supplement that the surgery method uses in the high-risk patient's treatment.