Comparative study on transurethral holmium laser resection and plasmakinetic resection in treatment of benign prostatic hyperplasia in elderly patients

doi:10.3877/cma.j.issn.2095-8757.2022.03.010

Abstract

Abstract:

Objective

To compare the efficacy of transurethral holmium laser resection of bladder tumor (HOLRBT) and transurethral plasmakinetic resection of the bladder tumor (PKRBT) in the treatment of benign prostatic hyperplasia (BPH) in elderly patients.

Methods

A retrospective analysis was constructed on 65 elderly patients with BPH from the Second Hospital of Traditional Chinese Medicine in Baoji during August 2019 and August 2020. Patients were divided into PKRBT group (32 cases) and HOLRBT group (33 cases) according to different treatments. The operation, clinical efficacy and complications were compared between the two groups. The t test was used for the comparison of measurement data, and the χ² test was used for the comparison of counting data.

Results

The operation time, bladder flushing time and catheter indwelling time in the study group were shorter than those in the control group, and the intraoperative blood loss in the study group was less than that in the control group (t=21.555, 9.679, 14.429, 23.470; P < 0.05). There was no significant difference in maximum urinary flow rate, residual urine and prostate volume between the groups (t=0.767, 1.845, 0.888; P > 0.05). The total incidence of complications in the HOLRBT group was significantly lower than that in the PKRBT group (χ²=3.910, P < 0.05).

Conclusion

HOLRBT and PKRBT have the same effect in the treatment of BPH in elderly patients, but the trauma during HOLRBT is more minimal, and the incidence of postoperative complications is low, which is worthy of promotion and application.

Key words: Holmium laser resection of bladder tumor, Plasmakinetic resection of the bladder tumor, Benign prostatic hyperplasia, Aged, Curative effect, Complications

Zhongxiao Yan. Comparative study on transurethral holmium laser resection and plasmakinetic resection in treatment of benign prostatic hyperplasia in elderly patients[J]. Chinese Journal of Geriatrics Research(Electronic Edition), 2022, 09(03): 42-45.

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References 14

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组别	例数	手术时间（min）	手术出血量（mL）	膀胱冲洗时间（h）	尿管留置时间（d）
PKRBT组	32	59.66±3.02	63.55±3.09	38.72±7.99	7.78±1.08
HOLRBT组	33	42.92±3.24	36.32±5.88	21.15±6.55	4.31±0.84
t值		21.555	23.470	9.679	14.429
P值		<0.05	<0.05	<0.05	<0.05

组别	例数	手术时间（min）	手术出血量（mL）	膀胱冲洗时间（h）	尿管留置时间（d）
PKRBT组	32	59.66±3.02	63.55±3.09	38.72±7.99	7.78±1.08
HOLRBT组	33	42.92±3.24	36.32±5.88	21.15±6.55	4.31±0.84
t值		21.555	23.470	9.679	14.429
P值		<0.05	<0.05	<0.05	<0.05

组别	例数	最大尿流（mL/s）		剩余尿（mL）		前列腺体积（mL）
组别	例数	术前	术后	术前	术后	术前	术后
PKRBT组	32	8.40±2.50	15.86±2.40	99.92±13.72	26.86±3.42	68.86±8.46	17.49±3.28
HOLRBT组	33	8.12±2.48	16.30±2.15	100.34±12.45	25.39±2.98	69.42±9.12	16.86±2.35
t值		0.453	0.767	0.129	1.845	0.257	0.888
P值		>0.05	>0.05	>0.05	>0.05	>0.05	>0.05

组别	例数	最大尿流（mL/s）		剩余尿（mL）		前列腺体积（mL）
组别	例数	术前	术后	术前	术后	术前	术后
PKRBT组	32	8.40±2.50	15.86±2.40	99.92±13.72	26.86±3.42	68.86±8.46	17.49±3.28
HOLRBT组	33	8.12±2.48	16.30±2.15	100.34±12.45	25.39±2.98	69.42±9.12	16.86±2.35
t值		0.453	0.767	0.129	1.845	0.257	0.888
P值		>0.05	>0.05	>0.05	>0.05	>0.05	>0.05

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