改良式钬激光前列腺剜除术预防术后尿失禁疗效观察  

Observation on the curative effect of modified holmium laser enucleation for postoperative urinary incontinence

作　　者：刘豪 刘永国 封波 栾志敏[2] LIU Hao;LIU Yongguo;FENG Bo;LUAN Zhimin(Clinical Medical College,Weifang Medical University,Weifang 261053,China;Department of Urology,the Affiliated Hospital of Weifang Medical University)

机构地区：[1]潍坊医学院临床医学院,山东潍坊261053 [2]潍坊医学院附属医院泌尿外科

出　　处：《潍坊医学院学报》2021年第6期478-480,共3页Acta Academiae Medicinae Weifang

摘　　要：目的观察改良式经尿道前列腺钬激光剜除术(HoLEP)治疗前列腺增生的效果。方法应用80w钬激光和组织粉碎器对90例良性前列腺增生症的患者进行经尿道前列腺钬激光剜除手术和组织粉碎手术,分析评估改良HoLEP术后临床效果。结果 90例手术均顺利完成。患者术后3、6个月国际前列腺症状评分(IPSS)、生活质量评分(QOL)及残余尿量均明显低于术前,最大尿流率(Qmax)高于术前,差异具有统计学意义(P<0.05);切除腺体50~100(72.5±15.0)g,术后冲洗时间3~26(11.3±7.6)h,术后留置导尿管时间1~5(3.1±1.3)d,且无压力性尿失禁等并发症的出现。结论经尿道改良式前列腺钬激光剜除术治疗良性前列腺增生具有良好的疗效,可有效地降低HoLEP术后压力性尿失禁的发生率,值得临床推广应用。Objective To observe the effect of modified transurethral holmium laser enucleation of prostate(HoLEP) in the treatment of prostatic hyperplasia.Methods Transurethral holmium laser enucleation and tissue comminution were performed in 90 patients with benign prostatic hyperplasia(BPH).The clinical effects of modified HoLEP were analyzed.Results All the 90 cases were completed successfully.International prostate symptom score(IPSS),quality of life score(QOL) and residual urine volume 3 and 6 months postoperatively were significantly lower than those before operation, and the maximum urine flow rate(Qmax) was higher than that before operation, with statistical significance(P<0.05).The gland was removed 50~100(72.5±15.0)g, the postoperative irrigation time was 3~26(11.3±7.6)h, the postoperative indwelling catheter time was 1~5(3.1±1.3)d, and no complication such as pressure urinary incontinence occurred.Conclusion Transurethral modified holmium laser resection of prostate has good efficacy in the treatment of benign prostatic hyperplasia and can effectively reduce the incidence of stress urinary incontinence after HoLEP,which is worthy of clinical application.

关 键 词：前列腺增生 钬激光剜除 压力性尿失禁 

分 类 号：R697.32[医药卫生—泌尿科学]