980nm半导体红激光汽化术在良性前列腺增生治疗中的应用  

980 nm diode laser vaporization for benign prostatic hyperplasia

作　　者：刘健[1] 康绍叁[1] 张小军[1] 曹凤宏[1] 李晓强[1] 

机构地区：[1]河北联合大学附属医院泌尿外科,河北唐山063000

出　　处：《中华男科学杂志》2013年第5期422-424,共3页National Journal of Andrology

摘　　要：目的:探讨980 nm半导体红激光汽化术治疗良性前列腺增生(BPH)的安全性和疗效。方法:应用980 nm半导体红激光对92例BPH患者行激光汽化切除术。患者年龄65～89岁,平均前列腺体积为(50.1±13.0)ml,观察记录手术时间、出血量、手术并发症,记录并统计分析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)及残余尿量(PVR)等指标的差异有无统计学意义。结果:手术全部成功,手术时间平均(70.2±16.9)min,术中无明显出血,无输血病例。患者术后留置尿管2～5 d,平均留置尿管时间(2.4±0.3)d,IPSS术后1个月为(8.7±2.0)分,3个月为(7.7±1.1)分,明显低于术前[(17.9±3.7)分,P<0.01],Qmax及PVR明显好于术前(P<0.01),无患者出现尿失禁及明显的膀胱刺激征。结论:980 nm半导体红激光汽化切除术治疗BPH是安全有效的。Objective ： To explore the efficacy and safety of 980 nm diode laser vaporization in the treatment of benign prostatic hyperplasia （BPH）. Methods： We treated 92 BPH patients by 980 nm diode laser vaporization. The patients were aged 65 - 89 years, with a mean prostate volume of （50.1 ± 13.0） ml. We analyzed and compared the mean operation time, intra-operative blood loss, postoperative complications, international prostate symptom score （IPSS）, quality of life （QOL） score, maximum urine flow rate （Qmax） , and post void residual （PVR） before and after surgery. Results： Operations were successful in all the 92 cases, with an average operation time of （70.2 ± 16.9 ） min, very little blood loss and no blood transfusion. The transurethral catheter indwelling time was 2 - 5 （2.4 ± 0.3 ） days. The patients were followed up for 1 to 3 months, which revealed a significant reduction in IPPS （ P 〈 0. 01 ） and improvement in Qmax and PVR （P 〈0.01 ） as compared with preoperation. No severe complications were reported, including urinary incontinence and bladder irritation symptoms. None of the patients complained of impaired erectile function. Conclusion ： Transurethral 980 nm diode laser vaporization is a safe and effective treatment for BPH.

关 键 词：良性前列腺增生 激光治疗 汽化切除术 

分 类 号：R697.32[医药卫生—泌尿科学]