前列腺绿激光解剖性汽化切除术治疗良性前列腺增生的远期疗效分析  

Long-term clinical outcomes of anatomic GreenLight laser vaporization-incision technique for the treatment of benign prostatic hyperplasia

作　　者：高鹏[1] 金露 蔡晓伟[1] 薛波新[1] GAO Peng;JIN Lu;CAI Xiaowei;XUE Boxin(Department of Urology,Second Affiliated Hospital of Soochow University,Suzhou,Jiangsu,215000,China)

机构地区：[1]苏州大学附属第二医院泌尿外科,江苏苏州215000

出　　处：《临床泌尿外科杂志》2024年第3期227-229,共3页Journal of Clinical Urology

基　　金：江苏省老年健康科研项目(No:LK2021042)。

摘　　要：目的:评估绿激光解剖性汽化切除术治疗前列腺增生(benign prostatic hyperplasia,BPH)的远期疗效。方法:收集2019年1月—2020年3月在苏州大学附属第二医院接受绿激光解剖性汽化切除术治疗的133例BPH患者的临床资料,对患者进行为期3年的术后随访,收集前列腺体积(prostate volume,PV)、最大尿流率(maximum flow rate,Q_(max))、国际前列腺症状评分(International Prostate Symptoms Score,IPSS)、生活质量(Quality of Life,QoL)评分、前列腺特异性抗原(prostate-specific antigen,PSA)、膀胱残余尿(postvoid residual,PVR)等指标及术后并发症发生情况。结果:所有患者手术均顺利完成,术后IPSS评分、QoL评分、Q_(max)、PVR等指标明显好转,术后3个月复查PV降低59.2%。在3年随访中,患者各项指标均保持稳定,无一例患者因BPH再次手术。术后短期并发症发生率依次为尿路刺激征(27.1%)、血尿(11.3%)、尿潴留(3.0%)等,远期并发症统计结果中有1例患者术后发生尿道狭窄。结论:绿激光解剖性汽化切除术治疗BPH安全、有效,值得临床推广。Objective: To evaluate the long-term clinical outcomes of anatomic GreenLight laser vaporization-incision technique for the treatment of benign prostatic hyperplasia(BPH) Methods: From January 2019 to March 2020, 133 BPH patients who received anatomic GreenLight laser vaporization-incision technique at Second Affiliated Hospital of Soochow University were included in the present study. Three-year patient-reported clinical data and clinical characteristics after the operation were collected, including International Prostate Symptoms Score(IPSS), prostate volume(PV), maximum flow rate(Q_(max)), prostate-specific antigen(PSA), postvoid residual(PVR), operative complication, etc. Results: All operations were successfully performed. IPSS score, QoL score, PVR and Q_(max) improved significantly after the operation. PV decreased about 59.2% three months after the operation. During the long-term follow-up for 3 years, the clinical characteristics didn't change significantly and no patients received reoperation. The incidences of short-term postoperative complications were urinary tract irritation(27.1%), hematuria(11.3%), urinary retention(3.0%), etc. Only one patient experienced long-term complication of postoperative urethral stricture.Conclusion: Anatomic GreenLight laser vaporization-incision technique is safe and effective in the treatment of BPH for long-term follow-up, which is worthy of clinical promotion.

关 键 词：前列腺增生 绿激光 解剖性汽化术 

分 类 号：R697[医药卫生—泌尿科学]