区级医院开展经尿道450 nm蓝激光前列腺汽化术的初步报道  

Clinical application of transurethral 450 nm blue laser vaporization in the treatment of benign prostatic hyperplasia in district hospitals

作　　者：李涛[1] 陈礼达 王忠义 田永峰 曹琦瑞 聂杨波 LI Tao;CHEN Lida;WANG Zhongyi;TIAN Yongfeng;CAO Qirui;NIE Yangbo(Department of Urology,Chang'an District Hospital,Northwest University Chang'an Hospital,Xi'an 12th Hospital,Xi'an 710100,China)

机构地区：[1]西安市长安区医院,西北大学长安医院,西安市第十二医院泌尿外科,陕西西安710100

出　　处：《现代泌尿外科杂志》2024年第4期324-326,341,共4页Journal of Modern Urology

摘　　要：目的初步探讨在区级医院开展经尿道450 nm蓝激光前列腺汽化术治疗良性前列腺增生(BPH)的临床效果,为区级医院BPH治疗方法的选择提供参考。方法回顾性分析2023年1月—9月在西安市长安区医院泌尿外科接受手术治疗的39例BPH患者的临床资料。根据手术方式分为两组,其中蓝激光组(n=19)行经尿道450 nm蓝激光前列腺汽化术,电切组(n=20)行经尿道前列腺电切术(TURP)。比较两组患者的手术时间、血红蛋白下降值、术后膀胱冲洗时间、术后留置尿管时间及并发症发生情况。结果所有患者的手术均顺利完成。两组的手术时间[(45.11±22.08)min vs.(81.25±29.37)min]、术后膀胱冲洗时间[(34.05±9.41)h vs.(47.60±9.05)h]及血红蛋白下降值[(7.79±5.86)g/L vs.(16.40±10.23)g/L]比较,蓝激光组明显低于电切组(P<0.05)。蓝激光组术后尿潴留1例,两组术后留置尿管时间差异无统计学意义(P>0.05)。结论采用450 nm蓝激光前列腺汽化术治疗BPH具有出血量少、手术时间短及术后膀胱冲洗时间少的特点,值得在基层医院推广应用。Objective To investigate the application value of 450 nm blue laser vaporization in the treatment of benign prostatic hyperplasia(BPH)in district hospitals,so as to provide reference for the selection of BPH treatment methods in district-level hospitals.Methods The clinical data of 39 BPH patients who received surgical treatment in Chang an Hospital during Jan.and Sep.2023 were retrospectively analyzed.The patients were divided into two groups,including 19 in blue laser group treated with 450 nm blue laser vaporization and 20 in the TURP group treated with transurethral resection of the prostate(TURP).The operation time,hemoglobin decline,postoperative bladder irrigation time,catheter indwelling time and adverse events were compared between the two groups.Results All operations were successfully completed.In the blue laser group,the operation time[(45.11±22.08)min vs.(81.25±29.37)min],postoperative bladder irrigation time[(34.05±9.41)h vs.(47.60±9.05)h]and the decrease of hemoglobin[(7.79±5.86)g/L vs.(16.40±10.23)g/L]were significantly lower than those in the TURP group(P<0.05).There was 1 case of urinary retention in the blue laser group,and there was no significant difference in indwelling catheter time between the two groups(P>0.05).Conclusion The 450 nm blue laser vaporization of prostate has advantages of less blood loss,shorter operation time and shorter postoperative irrigation time.Therefore,it should be considered as a preferable option for BPH in primary hospitals.

关 键 词：良性前列腺增生 450 nm蓝激光 前列腺汽化切除术 经尿道前列腺电切术 

分 类 号：R697.3[医药卫生—泌尿科学]