1470nm半导体激光汽化术治疗良性前列腺增生症  

1 470nm diode laser vaporization prostatectomy for the treatment of benign prostatec hyperplasia

作　　者：刘萃龙[1] 周茂军[1] 赵豫波[1] 欧阳昀[1] 关维民[1] 吴意光[1] 徐衍盛[1] 

机构地区：[1]中国人民解放军海军总医院泌尿外科,北京100048

出　　处：《微创泌尿外科杂志》2014年第2期112-114,共3页Journal of Minimally Invasive Urology

摘　　要：目的：研究使用1470nm半导体激光治疗BPH的有效性和安全性.方法：应用1470nm半导体激光系统治疗BPH患者87例,观察手术时间、术中出血情况、手术前后IPSS 、QOL 、膀胱剩余尿、尿流率及术后留置尿管时间等指标.结果：87例患者均由同一术者一次性成功完成手术.本组手术时间为(72±31)min ,出血量(23±11)ml .所有患者均未输血,未发生电切综合征,术后平均留置尿管时间(35±20)h .87例术后随访3~12个月.术后复查IPSS 由术前(27.3±2.4)分降至(5.8±1.6)分,QOL 由术前(4.8±1.1)分降至(1.7±0.4)分,Q max 由术前(6.3±3.2)ml/s 增加至(19.8±2.1)ml/s ,剩余尿由术前(86.7±139.5)ml 降至(29.3±5.1)ml ,手术前后比较均差异有统计学意义(P ＜0.05).结论：1470nm半导体激光汽化术是治疗BPH安全高效且并发症少的新方法.To study the efficacy and safety of 1470 nm diode laser for the treatment of benign prostat-ichyperplasia (BPH).Methods :A total of 87 patients under went vaporization of the prostate using 1470 nm diode laser .The mean operative time ,blood loss ,the international prostate symptom score (IPSS),the score of life quali-ty ,bladder resi dual urine volume ,flow rate and ind welling catheterizati on time were recorded and analyzed .Results :All procedures were successfully performed by one operation .The operation time was (72 ±31 )min ,and blood loss (23 ±11)mL .No case needed blood transfusion ,and there was no TURP-related syndro me .The meanind welling catheterizati on time was (35 ±20 )h .Eighty-seven cases were followed up for 3 to 12 months .The IPSS was de-creased from preoperative (27.3±2.4)to (5.8±1.6).The QOL was decreased from preoperative (4.8 ±1.1 )to (1.7 ±0.4 ).The maximum flow rate was increased from preoperative (6.3 ±3.2 )mL/s to (19.8 ±2.1 )mL/s .The residualurine volume was decreased from preoperative (86.7 ±1 39.5 )mL to (29.3 ±5.1 )mL .All the differences were statistically significant (P <0.05 ).Conclusions :1470nm diode laser is safe ,efficacious and mini mally invasive for the patients of BPH .

关 键 词：半导体激光 前列腺汽化术 前列腺增生 

分 类 号：R697[医药卫生—泌尿科学]