摘要
目的探讨2μm激光汽化切除技术联合2μm激光膀胱颈内切开治疗小体积良性前列腺增生(BPH)患者的疗效和安全性。方法 45例体积≤40mL BPH患者,采用经尿道2μm激光汽化切除增生前列腺联合2μm激光膀胱颈切开。观察术中出血情况、手术时间、术后尿管留置时间、手术并发症,比较手术前后患者国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)及残余尿量(PVR)等指标差异。结果 45例患者均顺利完成手术。输血2例;手术前后血电解质及血红蛋白浓度差异无统计学意义(P>0.05);平均手术时间(80±15)min;术后留置尿管4～6d。术后随访2～12个月,所有患者均未发生尿道狭窄,1例术后排尿困难改善不明显者给予留置导尿管1月后成功拔除尿管。IPSS评分及QOL评分分别从(24.2±5.4)分和(4.9±0.2)分降至(7.5±1.6)分和(2.3±0.3)分;Qmax由术前(7.1±0.5)mL/s升至(18.2±1.6)mL/s;PVR由术前(82±1.2)mL下降至术后(15.3±3.4)mL,手术前后比较差异均有统计学意义(P<0.05)。结论 2μm激光汽化切除技术联合2μm激光膀胱颈内切开治疗小体积BPH安全有效。
Objective To explore the efficacy and safety of transurethral prostate vaporesection and transurethral bladder neck incision with 2 μm laser for the treatment of small-volume benign prostatic hyperplasia （BPH）. Methods 45 patients with small-volume BPH were treated with transurethral prostate vaporesection and transurethral bladder neck incision with 2 μm laser. The blood loss,operative time,catheterization time and complications were observed. The variables such as the international prostate symptom score （IPSS）,quality of life （QOL）, maximum flow rate （Qmax）, postvoid residual （PVR） were recorded before and after operation. Results All 45 patients successfully underwent the transurethral prostate vaporesection, with 2 cases in need of blood transfusion. The average operative time was （80±15）min. No significant difference in the plasma electrolytes and haematoglobin before and after operation （P〉0. 05） was detected. The average postoperative catheterization time was 4-6 days. During the follow-up of 2-12 months,no urethral stricture or urinary incontinence was found. Only one patient had catheterization for one month because of dysuria. The IPSS and QOL reduced from 24.2 ± 5.4 and 4.9±0.2 to 7.5± 1.6 and 2.3±0. 3 after the operation, The average Qmax was （7.1 ±0, 5）mL/s and （18. 2 ± 1.6）mL/s before and after the operation. The average PVR was （82 ± 1.2）mL/s and （15.3 ± 3.4）mL/s before and after the operation. There were significant differences between these parameters （P〈0.05）. Conclusions Transurethral prostate vaporesection and transurethral bladder neck incision with 2μm laser is safe and effective to treat small-volume BPH.
出处
《现代泌尿外科杂志》
CAS
2012年第5期497-500,共4页
Journal of Modern Urology
关键词
前列腺增生
小体积
2ΜM激光
汽化切割
膀胱颈切开
benign prostatic hyperplasia
small-volume
2 micron laser
vaporesection
bladder neck incision
