160W绿激光直光束汽化增生前列腺组织的体会  

Evaluation of the Effect of 160W Greenlight Straight Light Beam Photoselective Vaporization of Prostate for Treatment of Benign Prostatic Hyperplasia

作　　者：王金[1] 金讯波[1] 赵勇[1] 钟浩[1] 陈强 莫文思 

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 [2]山东省宁阳县人民医院泌尿外科,山东泰安271400

出　　处：《泌尿外科杂志（电子版）》2011年第4期6-9,18,共5页Journal of Urology for Clinicians(Electronic Version)

摘　　要：目的探讨160W绿激光直光束汽化增生前列腺组织(photoselective vaporization of pros-tate,PVP)的手术方式体会。方法本科采用中国瑞尔通公司生产的非接触式绿激光治疗系统进行PVP,额定输出汽化功率为160W,电凝功率为40W。将良性前列腺增生(BPH)患者30例依所用手术方式不同分为2组,分别行绿激光侧出光PVP和绿激光直光束PVP,比较2种术式的手术时间、术中出血量、近期疗效及并发症等情况。结果记录患者手术前后国际前列腺症状评分(international prognostic scoring sys-tem,IPSS)、生活质量评分(qualilty of life,QOL)、最大尿流率(Qmax)及剩余尿量(residual urine volume,RUV),2组术后IPSS、QOL、Qmax及RUV等指标均较术前明显改善(P<0.01),但2组之间上述指标比较,差异无明显统计学意义(P<0.05)。直光束PVP组术中出血量少于侧出光PVP组,但无统计学意义(P>0.05)。直光束PVP组手术时间明显短于侧出光PVP组(P<0.05)。结论 160W绿激光直光束PVP组与传统侧出光PVP组相比在手术时间方面有明显优势,且同样具有手术过程安全、恢复快及并发症少等优点,为治疗BPH提供了一种新的手术方式。Objective To evaluate the effect of 160W greenlight straight light beam photoselective vaporization of prostate for treatment of benign prostatic hyperplasia. Methods A total of 30 BPH patients were randomly divided into two groups treated with either 160W greenlight side light beam PVP (n=15) or 160W greenlight straight light beam PVP (n=15). The mean operation time,bleeding volume,short-term effect and complications were recorded and analyzed. Results The IPSS, QOL, Qmax, RUV were greatly improved in both groups after operations (P<0.01) and significant differents(P>0.05)were observed. But the operating time was significantly shorter in 160 W greenlight straight light beam PVP than 160 W greenlight side light beam PVP (P<0.05). Conclusions Treatment with 160 W greenlight straight light beam PVP has advantages in operation time,rapid recoverg duration,and less camplications compared with 160 W greenlight side light beam PVP.It provide a new operation method for the treatment of benign prostatic hyperplasia.

关 键 词：良性前列腺增生 160W前列腺绿激光汽化术 微创性 

分 类 号：R699[医药卫生—泌尿科学]