国产980nm半导体激光前列腺汽化剜切术治疗良性前列腺增生的疗效观察  

Observation on 980nm diode laser vaporization enucleation in the treatment of benign prostatic hyperplasia

作　　者：李小鑫[1] 朱建[1] 陈旭[1] 鞠建[1] 解吕中[1] LI Xiaoxin;ZHU Jian;CHEN Xu;JU Jian;XIE Lyuzhong(Department of Urology,Nantong Hospi-tal of Traditional Chinese Medicine,Affiliated Traditional Chinese Medicine Hospital of Nantong University,Nan-tong 226001,Jiangsu,China)

机构地区：[1]南通市中医院(南通大学附属南通中医院)泌尿外科,江苏南通226001

出　　处：《中国性科学》2022年第1期31-34,共4页Chinese Journal of Human Sexuality

摘　　要：目的观察国产980nm半导体激光前列腺汽化剜切术(DiLVEP)治疗良性前列腺增生(BPH)的临床疗效。方法选取2019年6月至2020年12月南通市中医院泌尿外科收治的112例行BPH手术治疗的患者作为研究对象。其中67例采用DiLVEP治疗(DiLVEP组),45例采用经尿道前列腺切除术(TURP)治疗(TURP组)。比较两组手术时间、术中出血量、血钠浓度变化、术后导尿管留置时间、膀胱冲洗时间以及手术后并发症发生情况;记录两组手术前后国际前列腺症状评分法(IPSS)评分、生活质量评分法(QOL)评分、最大尿流率(Qmax)和残余尿量(PVR)变化情况。结果 DiLVEP组手术时间、导尿管留置时间、膀胱冲洗时间均较TURP组短,DiLVEP组术中出血量、血钠减少值、术后总并发症发生率均小于TURP组,差异具有统计学意义(P<0.01);术后,两组IPSS评分、QOL评分、Qmax、PVR均较术前明显改善,差异具有统计学意义(P<0.01)。结论 DiLVEP治疗BPH的疗效确切,具有术中出血量少、手术效率高等优点,临床应用前景广阔。Objective To evaluate the clinical efficacy of domestic 980 nm diode laser vaporization and enucleation of the prostate(DiLVEP) in the treatment of patients with benign prostatic hyperplasia(BPH). Methods 112 patients undergoing BPH surgery in the Department of Urology, Nantong Hospital of Traditional Chinese Medicine from June 2019 to December 2020 were selected as the research subjects. 67 patients were treated with DiLVEP(DiLVEP group) and 45 patients were treated with transurethral resection of the prostate(TURP group). The operative time, intraoperative blood loss, changes in blood sodium concentration, postoperative indwelling time of urethral catheter, bladder flushing time and postoperative complications were compared between the two groups. The changes of international prostate symptom score(IPSS), quality of life score(QOL), maximum urine flow rate(Qmax) and postvoid residual urine(PVR) before and after operation were recorded. Results The operative time, indwelling catheter time and bladder flushing time of DiLVEP group were shorter than those of TURP group. The intraoperative blood loss, blood sodium reduction value and incidence of total postoperative complications in DiLVEP group were smaller than those in TURP group(P<0.01). After surgery, IPSS, QOL, Qmax and PVR of the two groups were significantly improved compared with that before surgery(P<0.01). Conclusions DiLVEP is a effective surgical method in the treatment of BPH. It deserves to be popularized with the advantages of less intraoperative bleeding and shorter operation time.

关 键 词：半导体激光汽化剜切术 经尿道前列腺切除术 良性前列腺增生 

分 类 号：R697[医药卫生—泌尿科学]