“五分法”2μm激光汽化切除术治疗BPH经验总结  

“Five-part method” of two-micron continuous-wave laser vaporesection in treating benign prostatic hyperplasia

作　　者：任晓磊[1] 包国昌[1] 夏海波[1] 高志明[1] 庞自力[2] 兰东阳[2] 于营[2] 

机构地区：[1]内蒙古赤峰市新城区赤峰学院附属医院泌尿外科,内蒙古赤峰024000 [2]华中科技大学同济医学院附属协和医院

出　　处：《临床泌尿外科杂志》2016年第3期250-252,255,共4页Journal of Clinical Urology

摘　　要：目的：总结＂五分法＂2μm激光汽化切除术治疗BPH的临床经验。方法：回顾性分析采用＂五分法＂2μm激光汽化切除术治疗BPH患者192例的临床资料。结果：所有患者手术均取得成功,手术时间为（88.43±24.51）min,术中出血量为（29.57±14.15）ml,术后冲洗时间为（4.15±2.44）h,拔除尿管时间为术后7天,术后出现继发性出血4例,出现暂时性尿失禁12例。术后随访3~12个月,无尿道狭窄等并发症发生。术后第3个月患者国际前列腺评分由术前（27.35±2.61）分降至术后（13.84±3.93）分（P〈0.05）,生活质量评分由术前（4.93±0.96）分降至术后（1.86±1.11）分（P〈0.05）,最大尿流率由术前（4.82±2.71）ml/s升至术后（16.84±3.37）ml/s（P〈0.05）,膀胱残余尿量由术前（91.38±42.48）ml降至术后（24.12±16.69）ml（P〈0.05）。结论：＂五分法＂2μm激光汽化切除术是治疗BPH一种安全、有效的方法。Objective：To summarize the clinical experience of ＂five-part method＂ of two-micron continuouswave laser vaporesection in treating benign prostatic hyperplasia（BPH）.Method：A retrospective analysis was performed in 192 patients with BPH undergoing ＂five-part method＂ of two-micron continuous-wave laser vaporesection.Result：All operations were completed successfully.The average operation time was（88.43±24.51）min.The blood loss was（29.57±14.15）ml.The time of continuous bladder irrigation after operation was（4.15±2.44）h.Urinary catheters were indwelt for seven days.Four patients were found postoperative secondary hemorrhage,and 12 patients were found transient urinary incontinence.No urethral stricture or other complications occurred during the follow-up period of 3-12 months.The data of postoperative three months were as follows：IPSS decreased from（27.35±2.61）preoperatively to（13.84±3.93）postoperatively（P 0.05）;quality of life（QOL）score decreased from（4.93±0.96）before operation to（1.86±1.11）（P 0.05）;Qmaxincreased from（4.82±2.71）ml/s preoperatively to（16.84±3.37）ml/s postoperatively（P 0.05）;bladder post void residual（PVR）decreased from（91.38±42.48）ml before operation to（24.12±16.69）ml after operation（P 0.05）.Conclusion：Treatment of ＂five-part method＂ of two-micron continuous-wave laser vaporesection is safe and effective for BPH.

关 键 词：五分法 2ΜM激光 良性前列腺增生 

分 类 号：R697[医药卫生—泌尿科学]