保留背侧纵行尿道黏膜的经尿道前列腺铥激光剜除术治疗中小体积良性前列腺增生的优势和技术要点  

Advantages and technical points of ThuLEP with preservation of dorsal longitudinal urethral mucosa for benign prostatic hyperplasia with small-medium gland

作　　者：傅强[1] 黄建文[1] FU Qiang;HUANG Jianwen(Department of Urology,Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai,200233,China)

机构地区：[1]上海交通大学医学院附属第六人民医院泌尿外科,上海200233

出　　处：《临床泌尿外科杂志》2023年第5期324-326,共3页Journal of Clinical Urology

摘　　要：经尿道前列腺铥激光剜除术(ThuLEP)在临床上已得到广泛应用,但剜除术后出现暂时性尿失禁、膀胱颈挛缩和尿路刺激症状等并发症的风险仍较高,限制了该技术的推广。本文提出保留背侧纵行尿道黏膜的ThuLEP在治疗中小体积良性前列腺增生中具有独特的优势,既能降低术后暂时性尿失禁、膀胱颈挛缩和肉眼血尿的发生率,又能减轻术后尿路刺激症状。本文就保留背侧纵行尿道黏膜的ThuLEP的技术要点进行阐述。Thulium laser enucleation of prostate(ThuLEP)has been widely used clinically.However,the risk of complications such as temporary urinary incontinence,bladder neck contracture and urinary tract irritation after enucleation remains high,which limits the spread of the technology.In the article,it was proposed that ThuLEP with preservation of dorsal longitudinal urethral mucosa has unique advantages in the treatment of BPH with small-medium volume,which can not only reduce the incidence of temporary urinary incontinence,bladder neck contracture and gross hematuria,but also reduce the symptoms of postoperative urinary tract irritation.At the same time,the technical points of ThuLEP with preservation of dorsal longitudinal urethral mucosa were elaborated in the article.

关 键 词：前列腺增生 铥激光剜除术 背侧纵行尿道黏膜 优势 技术要点 

分 类 号：R697[医药卫生—泌尿科学]