选择性120W绿激光汽化术治疗高龄高危良性前列腺增生症  

Photoselective vaporization with 120W green light laser for treatment of high-risk aged patients with benign prostatic hyperplasia

作　　者：孙震鹏[1] 黄晨[1] 陈立军[1] 赵立[1] 曲楠[1] 吴世奎 

机构地区：[1]解放军第307医院泌尿外科,北京100071

出　　处：《中华老年多器官疾病杂志》2013年第7期493-496,共4页Chinese Journal of Multiple Organ Diseases in the Elderly

摘　　要：目的 探讨选择性120W绿激光汽化术治疗高龄高危良性前列腺增生症（BPH）的疗效及安全性。方法 选取2010年5月至2012年12月在解放军第307医院泌尿外科住院的符合高龄高危BPH诊断标准的患者86例，平均年龄76.5（70～93）岁。统计分析应用选择性120W绿激光汽化术进行治疗的相关临床资料。结果 86例患者均顺利完成手术。手术时间（28.7±9.4）min，术中出血量（14.8±9.0）ml，术中无输血病例。术后留置导尿管时间（2.0±0.7）d，住院时间（3.2±1.1）d。拔除导尿管后出现短暂性排尿困难、轻度尿路刺激症状、继发性血尿、短暂性急迫性尿失禁等并发症，均经相应处理后改善。术后1个月、6个月国际前列腺症状评分（IPSS）、最大尿流率及残余尿情况与术前相比差异均有统计学意义（P＜0.01）。结论 此方法手术时间短、出血少、恢复快、安全性高，是针对高龄高危BPH患者理想的微创治疗方法。Objective To assess the efficacy and safety of photoselective vaporization of the prostate with 120W green light laser in the treatment of benign prostatic hyperplasia （BPH） in high-risk aged patients. Methods Clinical data of 86 high-risk patients with a mean age of 76.5 （ranging from 70 to 93） years who underwent photoselective vaporization of prostate （120W） for the treatment of BPH in our department from May 2010 to December 2012 were collected and retrospectively analyzed. Results All surgery procedures were completed successfully. The operation time was （28.7±9.4）min, and intra-operative blood loss was （14.8±9.0）ml, with no one requiring blood transfusion intra-operatively. The duration of post-operative indwelling catheter was （2.0±0.7）d, and hospitalization time was （3.2±1.1）d. Postoperative complications included transient dysuria, mild urinary tract irritation, secondary hematuria, and transient urge incontinence. All these symptoms were relieved after treatment. There were significant differences in International Prostate Symptom Score （IPSS）, maximum flow rate and residual urine volume at 1 and 6 months after operation compared with pre-operation（P〈0.01）. Conclusions Photoselective vaporization of prostate （120W） has advantages of shorter operation time, less blood loss, rapid recovery, and high safety. It is an ideal and minimally invasive approach for high-risk elderly patients with BPH.

关 键 词：前列腺增生 老年人 激光疗法 

分 类 号：R697.32[医药卫生—泌尿科学] R592[医药卫生—外科学]