经尿道绿激光分叶汽化剜除术治疗良性前列腺增生  

Photoselective Potassium Titanyl-phosphate( KTP) Laser aporization Versus Transurethral Resection of the Prostate for Benign Prostate Hyperplasia

作　　者：刘志峰[1] 赵永伟[1] 宋明山[1] 阮正[1] 郝晓航[1] 陈辑[2] 

机构地区：[1]山东省泰安市中心医院泌尿外科,山东泰安271000 [2]山东大学附属省立医院泌尿微创中心,山东济南250021

出　　处：《泌尿外科杂志（电子版）》2013年第2期15-17,23,共4页Journal of Urology for Clinicians(Electronic Version)

摘　　要：目的探讨经尿道绿激光分叶汽化剜除术治疗良性前列腺增生(BPH)的安全性及临床疗效。方法采用经尿道绿激光分叶汽化剜除术治疗BPH患者87例,观察平均手术时间、绿激光能量消耗、术后膀胱冲洗时间、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)、残余尿量及尿流率改变等指标的差异。结果本组患者手术均获成功,手术时间平均(58.5±15.5)分钟。无电切综合征、大出血等严重并发症发生。术中均未输血,术后留置导尿管时间(2.8±0.6)天。IPSS、QOL、Qmax等指标均较术后改善明显,随访期内疗效满意。结论经尿道绿激光分叶汽化剜除术用于BPH的治疗,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。Objectives To evaluate the safety and effectiveness of divided transurethral enucleation of the prostate in symptomatic patients with large prostates .Methods Between January 2011 and December 2012, 87 patients underwent divided transurethral enucleation of the prostate for severe lower urinary tract symptoms due to benign prostatic hyperplasia.International prostate symptom score and quality -of-life questionnaire (IPSS-QOL), maximum flow rates (Qmax), and postvoid urine residues (PVR) were recorded.Perioperative data, functional outcome and complications were evaluated .Patients were reassessed at 3months.Results The mean operation time was 58.5 ±15.5 minutes.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 di-vided transurethral enucleation of the prostate have excellent efficiency and low morbidity in patients with large prostates .

关 键 词：前列腺增生 绿激光 剜除 

分 类 号：R697.32[医药卫生—泌尿科学]