经尿道80W绿激光汽化术联合等离子电切治疗大体积前列腺增生症  

Photoselective Vaporization plus Bipolar Transurethral Resection for the Treatment of Large Prostate Adenoma

作　　者：赵勇[1] 李连军[1] 王金[1] 宋伟[1] 王慕文[1] 

机构地区：[1]山东大学附属省立医院泌尿微创中心,山东济南250014

出　　处：《泌尿外科杂志（电子版）》2011年第3期5-8,共4页Journal of Urology for Clinicians(Electronic Version)

摘　　要：目的探讨经尿道80 W绿激光前列腺汽化术(PVP)联合等离子电切术(PKRP)治疗大体积(>100毫升)的良性前列腺增生(BPH)的临床疗效及安全性。方法 2006年1月至2008年12月采用PVP联合PKRP治疗体积100毫升以上的前列腺增生症共计87例,方法为先行PKRP术,切除大部分增生的腺体,再以PVP对剩余增生组织进行汽化并创面封闭止血。记录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)等指标,并予随访1年。结果本组患者手术均获成功,手术时间平均71.5±21.9分钟。无电切综合症、大出血等严重并发症发生。术中均未输血,术后导尿管于48小时内拔除。IPSS、QOL、Qmax等指标均较术后改善明显,随访期内疗效满意。结论 80 W PVP联用PKRP术治疗大体积前列腺增生,发挥了两者的优势,手术时间短,术中出血少,术后恢复快,为一种有效的微创治疗方法。Objective To evaluate the safety and effectiveness of the combined 80 W photoselective vaporization of the prostate (PVP) and bipolar transurethral resection of the prostate (TURP) in symptomatic patients with large prostates. Methods Between January 2006 and December 2008, 87 patients underwent PVP plus bipolar TURP for severe lower urinary tract symptoms due to benign prostatic hyperplasia with prostatic volume greater than 100 ml. International Prostate Symptom Score and quality-of-life questionnaire (IPPS-QOL), maximum flow rates (Qmax), postvoid urine residues (PVR) and MRI prostatic volumes were recorded. Perioperative data, functional outcome and complications were evaluated. Patients were reassessed at 3, 6, 12 months. Results The mean operation time was 71.5±21.9 minutes. The mean pre-and postoperative prostate volume was 143.2±33.5 ml and 45.1±18.5 ml, respectively. No severe complications were observed. A significant difference in IPSS, Qmax and PVR values were recorded within the follow-up period. Conclusions The results of our study show that 80 W PVP plus bipolar TURP have excellent efficiency and low morbidity in patients with large prostates.

关 键 词：前列腺增生 激光 经尿道前列腺切除术 

分 类 号：R699[医药卫生—泌尿科学]