摘要
目的总结1．94μm铥激光“三叶五步剜除法”治疗良性前列腺增生（BPH）的技巧及疗效，并评估其安全性。方法2014年5月15日至2016年5月15日期间，我院应用经尿道1．94μm铥激光手术治疗305例BPH患者。患者平均年龄（70．3±17．8）岁，前列腺体积（71．8士24．3）ml（40～190m1），国际前列腺症状评分（IPSS）（22．8±4．9）分，最大尿流率（Qmax）（7．2±2．8）ml／s，残余尿量（RUV）（97．3±18．4）ml，PSA值（2．9±1．6）ng／ml。手术方法采用“三叶五步剜除法”。结果305例患者均顺利完成手术。手术时间平均（57．2±25．9）min，导尿管留置时间2．7d（1～4d），术后3个月Qmax（23．1±5．2）ml／s，IPSS评分（7．0±3．7）分，RUV（8．9±3．3）ml，与术前相比差异均有统计学意义（P〈0．05）。无电切综合征、继发性大出血、尿道狭窄、排尿困难、远期尿失禁、尿潴留等并发症发生。无新发勃起功能障碍患者。术后组织学检查均诊断为BPH。结论1．94μm铥激光“三叶五步剜除法”组织切除彻底，并发症少，安全性高，是一种较为理想的BPH治疗方法。
Objective To summarize the technique and clinical effect of 1.94μm thulium laser treatment for benign prostatic hyperplasia （BPH） by the method of three lobes five-step enucleation. Methods During May 15, 2014 to May 15 2016, 305 BPH patients, aged 70,3±17.8, with a mean prostate volume of （71.8±24.3）ml （40-190 ml）, average international prostate symptom score （IPSS） of 22.8±4.9, average maximum urinary flow （Qmax） of （7.2±2.8）ml/s, average residual urine volume （RUV） （97.3±18.4）ml, PSA （2.9±1.6）ng/ml, were treated by 1.94 μm thulium laser in our hospital by the method of three lobes five-step enucleation. Results The mean operative time was （57.2±25.9）min, and the mean postoperative catheterization time was 2.7 d （1-4 d）. Three month after the operation, the IPSS was 7.0±3.7, the Qmax was （23.1±5.2）ml/s and RUV was （8.9±3.3）ml, which showed significantly improvement than before （P〈0.05）. There were no com- plication of TURS, massive haemorrhage, urethral stricture, dysuria, urinary incontinence, urinary retention, newly erectile dysfunction and retrograde ejaculation. Conclusions The method of three lobes five-step enucleation with 1.94 μm thulium laser is an ideal way for treatment of BPH, with the advantages of rapid and thorough resection, less complications and high safety.
作者
杨登科
焦湘
郭大勇
闫俊领
王文浩
李新伟
张绍辉
李中泰
高喆
陈云路
YANG Deng-ke JIAO Xiang GUO Da-yong YAN Jun-ling WANG Wen- hao LI Xin-wei ZHANG Shao-hui LI Zhong-tai GAO Zhe CHEN Yun-lu.(Deparment of U- rology, the 159th Hospital of PLA, Zhumadian 483000, China)
出处
《现代泌尿生殖肿瘤杂志》
2016年第5期279-282,共4页
Journal of Contemporary Urologic and Reproductive Oncology
关键词
1.94μm铥激光
良性前列腺增生
手术
剜除
1.94 μm thulium laser
Benign prostatic hyperplasia
Operation
Enuclea-tion
