日间模式下经尿道大功率铥激光前列腺汽化剜除术54例临床报告  

Clinical report of 54 cases of day surgery of thulium laser vapoenucleation of the prostate in benign prostatic hyperplasia patients

作　　者：夏盛强 童臻[1] 孙杰[1] Xia Shengqiang;Tong Zhen;Sun Jie(Department of Urology,Renji Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China)

机构地区：[1]上海交通大学医学院附属仁济医院泌尿科,上海200127

出　　处：《泌尿外科杂志（电子版）》2022年第4期48-51,共4页Journal of Urology for Clinicians(Electronic Version)

基　　金：上海市卫生和计划生育委员会面上项目(201840300)

摘　　要：目的 评估经尿道大功率铥激光前列腺汽化剜除术在日间手术模式下的有效性及安全性。方法 回顾性分析2021年3月至2022年3月在上海交通大学医学院附属仁济医院日间手术模式行大功率铥激光前列腺汽化剜除术治疗的良性前列腺增生(benign prostatic hyperplasia,BPH)患者54例。所有患者门诊完成各项检查并进行严格准入评估,24 h内完成入院、手术、拔除导尿管并进行出院评估。记录并分析围术期相关参数及并发症发生情况等,以及术后随访的排尿情况国际前列腺症状评分(International Prostate Symptom Score,IPSS)、最大尿流率(maximum flow rate,Qmax)、生活质量评分(quality of life,QoL)及残余尿量(postvoid residual urine volume,PVR)。结果 54例BPH患者均顺利完成日间手术。其中2例患者术后1周内出现感染发热,1例尿潴留重新留置尿管,1例术后3个月出现尿道外口狭窄,对症处理后均缓解。与术前相比,患者排尿症状均明显改善。结论 经尿道大功率铥激光前列腺汽化剜除术是一种安全有效的微创治疗方式。在日间手术模式下治疗BPH患者能节约医疗资源,降低住院天数及减少医疗费用。Objective To evaluate the safety and feasibility of day surgery of high power thulium laser vapoenucleation of the prostate(ThuVEP) in benign prostatic hyperplasia(BPH) patients.Methods A total of 54 BPH patients who had accepted the ThuVEP from March 2021 to March 2022 in Renji Hospital were retrospectively collected.All patients were examined preoperatively and admitted before strict evaluation.After operation the vital signs were observed,the catheter was removed 24 h after surgery and patients were discharged.Intra-and post-operative complications were recorded,and the patients were followed up at 1 and 6 months after operation for International Prostate Symptom Score(IPSS),maximum flow rate(Qmax),quality of life(QOL),and postvoid residual urine volume(PVR).Results All 54 operations were successful.Two cases developed fever and one case happened to acute urinary retention(AUR) 1 week after the surgery.External urethral orifice stenosis occurred in one case 3 months after operation,which was relieved after treatment.Lower urinary tract symptoms were relieved significantly in all cases.Conclusion High power ThuVEP is a safe and effective surgical endoscopic approach to the treatment in BPH patients.Day surgery of ThuVEP can shorten the hospitalization time,save medical resources and reduce medical expenses in BPH treatment.

关 键 词：良性前列腺增生 铥激光 前列腺汽化剜除术 国际前列腺症状评分 最大尿流率 残余尿量 

分 类 号：R699.8[医药卫生—泌尿科学]