1470nm激光直出光纤TURP式前列腺汽化剜除术治疗良性前列腺增生初步报告  

A primary report of the transurethral prostate vaporization and enucleation with a straight optical fiber and 1470 nm laser,as TURP,for the treatment of benign prostatic hyperplasia

作　　者：陈忠[1] 马俊[1] 杨竣[1] 吴立成[1] 王涛[1] 杜广辉[1] 杨为民[1] 叶章群[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院泌尿外科湖北省泌尿外科研究所,武汉430030

出　　处：《现代泌尿生殖肿瘤杂志》2015年第1期5-8,共4页Journal of Contemporary Urologic and Reproductive Oncology

摘　　要：目的报告采用经尿道前列腺电切术（TURP）式方法行1 470nm激光直出光纤前列腺汽化剜除术的临床疗效。方法小结2014年1月至2014年6月我院采用1 470nm激光直出光纤行TURP术式的前列腺汽化剜除术24例患者的资料。结果所有手术顺利完成,手术时间为（94.5±34.1）min,术中出血量约为10-80ml,无输血病例。术后膀胱冲洗时间为（1.5±0.7）d,留置导尿管时间为（4.3±1.2）d,术后住院时间（5.1±1.3）d。术后半年随访,患者的国际前列腺症状评分和生活质量评分均得到显著改善（P〈0.05）。结论采用TURP术式行1 470nm激光直出光纤前列腺汽化剜除术是一种安全、有效的治疗良性前列腺增生的手术方法。Objective To report the effects of the transurethral prostate vaporization and enucleation with a straight optical fiber and 1 470 nm laser,as transurethral resection of the prostate（TURP）,for the treatment of benign prostatic hyperplasia（BPH）. Methods Twenty-four cases of BPH underwent the transurethral prostate vaporization and enucleation with a straight optical fiber and 1 470 nm laser,as TURP operating methods,from 2014.1to 2014.6.The mean age of patients were（68.8±5.8）years,and mean prostatic weight were（68.1±27.2）g.All patients had low urinary tract symptoms relate to BPH（4.3±2.8）years. Results All operation had been finished successfully.There was no blood transfusions were needed during operation.The operation time was（94.5±34.1）min,and amount of bleeding was among 10-80 ml.After operation,bladder irrigation time was（1.5±0.7）d,urethral catheter time was（4.3±1.2）d,hospital stay（5.1±1.3）d.Follow-up six months later,IPSS score and quality of life score was significantly improved（P〈0.05）. Conclusions The transurethral prostate vaporization and enucleation with a straight optical fiber and 1 470 nm laser,as TURP operating methods,is a safe and effective minimally invasive treatment for BPH.

关 键 词：前列腺增生 经尿道前列腺切除术 1 470nm激光 直出光纤 剜除术 

分 类 号：R699.8[医药卫生—泌尿科学]