经尿道前列腺电切术联合2μm激光汽化切除术治疗80ml以上BPH的临床研究  

Transurethral resection of the prostate combined with 2-micron continuous-wave laser vaporesection for benign prostatic hyperplasia with the prostate volume > 80ml

作　　者：任晓磊[1] 高志明[1] 夏海波[1] 包国昌[1] 李春生[1] 张浩[1] 

机构地区：[1]赤峰学院附属医院泌尿外科,内蒙古赤峰024000

出　　处：《中华男科学杂志》2015年第2期136-139,共4页National Journal of Andrology

摘　　要：目的：总结经尿道前列腺电切术联合2μm激光汽化切除术治疗80 ml以上BPH的临床经验。方法：回顾性分析采用经尿道前列腺电切术联合2μm激光汽化切除术治疗80 ml以上BPH 46例的临床效果。结果：所有患者均手术成功,手术时间为86~176（112.0±20.0）min。术中出血50~200（77.9±25.9）ml。术后7 d拔除尿管,出现暂时性尿失禁6例,继发性出血2例。术后随访6个月,所有患者无尿道狭窄等并发症发生。术后第6个月患者国际前列腺症状评分由术前（26.3±1.8）分降至（11.6±1.7）分（P〈0.05）,生活质量评分为由术前（5.3±0.7）分降至术后（1.3±1.1）分（P〈0.05）,最大尿流率由术前（4.1±2.6）ml/s升至术后（16.2±1.7）ml/s（P〈0.05）,残余尿量由术前（115.5±55.6）ml降至术后（19.9±11.6）ml（P〈0.05）。结论：经尿道前列腺电切术联合2μm激光汽化切除术是治疗80 ml以上BPH安全、有效的方法。Objective： To sum up the clinical experience in the management of benign prostatic hyperplasia （BPH） with the prostate weighing over 80 ml by transurethral resection of the prostate （TURP） combined with 2 μm continuous-wave laser vaporesec- tion （LVR）. Methods： Vie retrospectively analyzed the clinical effects of TURP combined with 2 μm LVR in the treatment of 46 cases of BPH with the prostate volume 〉 80 ml. Results ： All the operations were successfully accomplished. The operation time and intraoperative blood loss were （ 112.0 ± 20.0 ） rain （ range 86 - 176 min） and （77.9 ± 25.9 ） ml （ range 50 - 200 ml）, respectively. The catheters were withdrawn at 7 days after surgery. Transient urinary incontinence occurred in 6 cases and secondary hemorrhage was found in 2 postoperatively. Six-month follow-up revealed no urethral stricture or other complications. Compared with the baseline, the international prostate symptom score （IPSS） was significantly decreased at 6 months after operation （26.3 ±1.8 vs 11.6 ±1.7, P 〈 0.05 ）, and so were the quality of life （QOL） score （ 5.3 ± 0.7 vs 1.3 ±1.1, P 〈 0.05 ） and post-void residual urine （PVR） （ [115.5 ± 55.6 ] ml vs [ 19.9 ± 11.6 ] ml, P 〈 0.05 ）. However, the maximum urinary flow rate （Qmax） was remarkably increased from（4.1±2.6） ml/sto（16.2±1.7） ml/s（P〈0.05）. Conclusion ： TURP combined with 21xm LVR is safe and effective for the treatment of BPH with the prostate volume 〉 80 ml.

关 键 词：经尿道前列腺电切术 2μm激光汽化切除术 良性前列腺增生 

分 类 号：R699.8[医药卫生—泌尿科学]