高功率绿激光汽化治疗良性前列腺增生症(附50例报告)  

Photoselective vaporization of prostate for treatment of benign prostatic hyperplasia (a report of 50 cases)

作　　者：杨庞[1] 熊剑华[1] 

机构地区：[1]江西省南昌市第一医院泌尿外科,江西南昌330008

出　　处：《中国内镜杂志》2008年第7期682-684,688,共4页China Journal of Endoscopy

摘　　要：目的探讨经尿道前列腺绿激光汽化术(PVP)治疗良胜前列腺增生(BPH)的临床效果与安全性。方法应用高功率绿激光(平均功率80W、峰值功率280W)经尿道汽化治疗BPH患者50例。观察手术时间、术后留置导尿管时间、手术并发症,记录并计算手术前后国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)及剩余尿量(PVR)等指标的改变。结果手术时间40～120min,留置导尿管1～3d。全部病例术后随访1～6个月,IPSS评分由(23.4±4.7)下降至(6.3±2.6)(P<0.01);QOL由(4.9±0.8)下降至(1.3±0.6)(P<0.01);Qmax由(6.2±2.4)mL/s上升至(21.3±2.7)mL/s(P<0.01);PVR由(174.2±22.7)mL下降至(36.3±4.6)mL(P<0.01)。术后继发出血2例,排尿困难1例,尿路感染1例,尿道外口狭窄1例。结论PVP治疗BPH基本不出血,无TUR综合征,手术安全,患者痛苦小,效果好,微侵袭,康复快,并发症极少,操作简单,是治疗BPH最为理想的微创手术方法。[Objective] To evaluate the efficacy and safety of photoselective vaporization of the prostate (PVP) for the treatment of benign prostatic hyperplasia (BPH). [Methods] A total of 50 patients with lower urinary tract symptoms secondary to benign prostatic hyperplasia received photoselective vaporization of the prostate with an 80W quasicontinuous KTP laser. The therapeutic results were assessed using the following variables: the operative time, catheterization time, complaints, mean Qmax, I-PSS, QOL and post...

关 键 词：良性前列腺增生 绿激光 前列腺汽化术 

分 类 号：R699[医药卫生—泌尿科学]