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三种使用不同能量源进行前列腺解剖性内镜剜除术的手术技术。

Three surgical techniques using different energy sources for anatomical endoscopic enucleation of the prostate.

作者信息

Yi Xin, Zhu Gongliang, Zhu Biyu, Zou Junrong, Zhu Jingyi, Zou Xiaofeng, Zhang Guoxi

机构信息

First Clinical College, Gannan Medical University, Ganzhou, China.

Department of Urology, First Affiliated Hospital of Gannan Medical University, Ganzhou, China.

出版信息

Front Surg. 2025 Sep 12;12:1668140. doi: 10.3389/fsurg.2025.1668140. eCollection 2025.

Abstract

Although transurethral resection of the prostate (TURP) remains the gold standard for the surgical treatment of benign prostatic hyperplasia (BPH), this approach is associated with a high recurrence rate and numerous postoperative complications. Recently, advancements in equipment and surgical techniques have led to the increased clinical application of anatomical endoscopic enucleation of the prostate (AEEP). The primary devices used in AEEP include bipolar plasma systems, holmium lasers, and thulium lasers. This article presents a narrative review evaluating the performance of these three energy sources in surgery and provides a comparative analysis of their advantages and disadvantages.

摘要

尽管经尿道前列腺切除术(TURP)仍是良性前列腺增生(BPH)外科治疗的金标准,但这种方法具有较高的复发率和众多术后并发症。近年来,设备和手术技术的进步促使前列腺解剖性内镜剜除术(AEEP)在临床上的应用增加。AEEP中使用的主要设备包括双极等离子体系统、钬激光和铥激光。本文进行了一项叙述性综述,评估这三种能量源在手术中的性能,并对其优缺点进行比较分析。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e845/12464963/341628a6c1e3/fsurg-12-1668140-g001.jpg

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