经尿道2μm激光分割式汽化切除术治疗前列腺增生的学习曲线分析  

Learning curve of 2 μm laser dividing vaporesection for treatment of benign prostatic hyperplasia

作　　者：陈宇东[1] 杜钰[1] 韩刚[1] 

机构地区：[1]解放军252医院泌尿外科,河北保定071000

出　　处：《东南国防医药》2016年第1期32-34,共3页Military Medical Journal of Southeast China

基　　金：解放军252医院院管课题基金资助项目(YY2012-12;2014252YY01)

摘　　要：目的探讨2μm激光分割式汽化切除术治疗良性前列腺增生的学习曲线。方法回顾性分析2012年3-12月由同一组医师完成的60例手术资料。按手术先后分为A、B和C组,每组20例,比较三组情况和手术效果。结果手术时间：A组〉B组〉C组;住院天数：C组〉B组〉A组;术后3个月和12月随访时三组最大尿流率、国际前列腺症状评分和生活质量评分与术前相比均显著改善（P〈0.05）。结论经尿道2μm激光分割式汽化切除术治疗良性前列腺增生安全、有效,其学习曲线约为20~40例。Objective To explore learning curve in performing 2 μm laser dividing vaporesections for treatment of benign prostatic hyperplasia（ BPH）. Methods A retrospective analysis of 60 cases with BPH for 2 μm laser dividing vaporesections from March 2012 to December 2012 was performed. All cases were divided into A,B,C group equally,and the situation and operation effect were compared. Results Operating time decreased continuously from the 1st20 cases to last,while the C group showed longer hospitalization day than the A group and B. Furthermore,all groups in follow-up of 3 months and 12 months showed great improvement in Qmax,international prostate symptom score when compared with pre-operation data. Conclusion 2 μm laser dividing vaporesection was a safe and effective micro-invasive operation for BPH. The learning curve is 20-40 cases approximately.

关 键 词：前列腺增生 汽化切割 激光手术 

分 类 号：R697.32[医药卫生—泌尿科学] R454.2[医药卫生—外科学]