夹心法是否可以成为前列腺较大的 BPH 患者的一种治疗选择？
Can the Sandwich Method Be an Alternative Treatment Choice for BPH Patients With Large Prostates?
机构信息
Division of Urology, Department of Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Division of Urology, Department of Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan; Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Department of Healthcare Management, Yuanpei University of Medical Technology, Hsinchu, Taiwan.
出版信息
Urology. 2023 Jun;176:137-142. doi: 10.1016/j.urology.2023.02.043. Epub 2023 Mar 23.
OBJECTIVE
To compare the efficacy and safety of the sandwich method with GreenLight photoselective vaporization (GLPVP) and bipolar transurethral resection (B-TURP) with those of the enucleation method in patients with BPH and a prostate volume ≥ 80 g.
METHODS
Patients with BPH who underwent either the sandwich method with GLPVP and B-TURP or the enucleation method between 2014 and 2021 were included in the analysis. The primary outcome was the comparison of uroflowmetry results between the 2 groups. Safety analysis of the complication rates was also compared.
RESULTS
The cohort included 55 patients in the sandwich group and 41 patients in the enucleation group. In the efficacy analysis, both groups showed comparable uroflowmetry results, except for a higher postoperative average flow rate in the enucleation group. Regarding perioperative parameters, the sandwich method required a longer operating time, and the enucleation group had a higher incidence of manual Foley irrigation. Both groups demonstrated similar postoperative complications.
CONCLUSION
The sandwich method exhibited comparable efficacy and safety to the enucleation method in patients with BPH with a prostate volume ≥ 80 g. Thus, for surgeons who are familiar with GLPVP and B-TURP, the sandwich method may be an alternative surgical approach for BPH patients with large prostates.
目的
比较夹心法联合 GreenLight 选择性光汽化术（GLPVP）与双极经尿道前列腺切除术（B-TURP）和剜除术治疗前列腺体积≥80g 的 BPH 患者的疗效和安全性。
方法
纳入 2014 年至 2021 年间接受夹心法联合 GLPVP 和 B-TURP 或剜除术治疗的 BPH 患者。主要结局是比较两组尿流率结果。还比较了并发症发生率的安全性分析。
结果
夹心组 55 例，剜除组 41 例。在疗效分析中，两组的尿流率结果相似，除了剜除组术后平均流量较高。关于围手术期参数，夹心法需要更长的手术时间，而剜除组 Foley 手动冲洗的发生率更高。两组的术后并发症相似。
结论
夹心法治疗前列腺体积≥80g 的 BPH 患者的疗效和安全性与剜除法相当。因此，对于熟悉 GLPVP 和 B-TURP 的外科医生来说，夹心法可能是治疗大前列腺 BPH 患者的另一种手术方法。
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