120和70W 2μm激光剥橘式前列腺切除术治疗症状性前列腺增生的疗效对比研究  

Comparison of 120 W versus 70 W thulium laser resection of the prostate-tangerine technique in treatment of symptomatic benign prostatic hyperplasia

作　　者：王延东[1] 刘军[1] 杨秀书[1] 孙兆林[1] 

机构地区：[1]贵州省人民医院泌尿外科,贵州贵阳550002

出　　处：《中国内镜杂志》2014年第2期124-128,共5页China Journal of Endoscopy

摘　　要：目的比较研究120和70W 2μm激光剥橘式前列腺切除术(TmLRP-TT)治疗症状性前列腺增生(BPH)的有效性和安全性。方法 81例患者分为两组分别应用70和120W激光进行TmLRP-TT,对两组患者的围手术期和术后预后及并发症进行比较。结果 120 W较70 W TmLRP-TT在手术时间[(32.90±10.68)vs(62.55±23.66)min,P<0.001]和灌注液的用量[(18.34±6.68)vs(30.78±10.01)L,P=0.000]方面具有明显的优势。两组患者术后下尿路症状均明显改善,在治疗效果和并发症方面两组之间差异无显著性。结论 70和120 W TmLRP-TT治疗症状性前列腺增生是安全有效的。另外120 W较70 W TmLRP-TT具有更高的汽化切除效率,所需灌注液更少,手术操作时间更短。： [Objective] To compare the efficacy and safety of 120W versus 70W thulium laser resection of the prostate-tangerine technique （TmLRP-TF） for treatment of patients with symptomatic benign prostate hyperplasia （BPH）. [Methods] 81 patients of symptomatic BPH were randomized into 120W（n=41） and 70 W （n=40） TmLRP-TT groups. Data of peri- and postoperative parameters and complications were compared. [Results] 120 W TmLRP-TF was significantly superior to 70 W device in terms of operation time [（32.90 ＋ 10.68） min vs （62.55 ＋ 23.66 min, P〈0.00I） ]and irrigation solution volume [（18.34 -＋ 6.68 L） vs （30.78 ＋ 10.01 L, P =0.000）]. Patients of both groups resulted in significant improvements in lower urinary tract symptoms, but there is no significant difference in therapeutic effect and complications between two groups. [Conclusion] 70 W and 120 W TmLRP-T＇F were both efficient and safe for treating symptomatic BPH; moreover, the 120 W TmLRP-TF offered significantly higher vaporesection rates, less volume of intra-operative irrigation solution and shorter operation time than the 70 W device.

关 键 词：良性前列腺增生 2μm激光剥橘式前列腺切除术 汽化切除 

分 类 号：R697.32[医药卫生—泌尿科学]