450 nm半导体蓝激光“打沟去垄法”治疗大体积良性前列腺增生的疗效 观察  

Efficacy of “ditching and ridge removal” with 450 nm semiconductor blue laser in the treatment of large volume benign prostatic hyperplasia

作　　者：屠凡倬 陈宪艳 曲亚萍 李松 胡燕[1] 满超 葛长官 赵永伟[1] TU Fanzhuo;CHEN Xianyan;QU Yaping;LI Song;HU Yan;MAN Chao;GE Changguan;ZHAO Yongwei(Urinary Nephropathy Laser Treatment Center,Yingsheng Branch of Tai an Central Hospital,Tai an 271000;Functional Gastroenterology Disorders Department of Tai an Central Hospital,Tai an 271000;Department of Urology,Huaihe Hospital,Henan University,Kaifeng 475000;Department of Urology,The eighth People’s Hospital of Jinan,Jinan 271100,China)

机构地区：[1]泰安市中心医院迎胜院区泌尿肾病激光治疗中心,山东泰安271000 [2]泰安市中心医院消化内科中心-功能性胃肠病科,山东泰安271000 [3]河南大学淮河医院泌尿外科,河南开封475000 [4]济南市第八人民医院泌尿外科,山东济南271100

出　　处：《现代泌尿外科杂志》2024年第5期435-439,共5页Journal of Modern Urology

摘　　要：目的分析450 nm半导体蓝激光“打沟去垄法”治疗大体积良性前列腺增生(BPH)的疗效及安全性,以期在临床推广应用。方法回顾性分析2023年9—12月泰安市中心医院迎胜院区泌尿肾病激光治疗中心行450 nm半导体蓝激光“打沟去垄法”治疗30例大体积BPH患者的临床资料,记录患者术中激光出光做功时间、术前及术后血红蛋白(Hb)水平、术后膀胱冲洗时间、尿管留置时间、术后住院时间、术中及术后并发症发生情况。对比患者术前及术后1个月国际前列腺症状评分(IPSS)、生活质量评定量表(QoL)评分、最大尿流率(Qmax)、膀胱残余尿量(PVR)变化情况。结果患者术前前列腺体积为(104.5±14.52)mL,术中激光出光做功时间(20.13±2.98)min,术后膀胱冲洗时间(20.27±2.56)h。所有患者术后2 d拔除导尿管,术后3 d顺利出院。术后1个月IPSS、QoL评分、Qmax、PVR均较术前明显改善,差异有统计学意义(P<0.05)。在随访期间未观察到任何并发症发生。结论采用450 nm半导体蓝激光“打沟去垄法”治疗大体积BPH是一种新型、安全、有效的手术方式。Objective To explore the efficacy and safety of“ditching and ridge removal”with 450 nm semiconductor blue laser in the treatment of large volume benign prostatic hyperplasia(BPH),in order to promote the clinical application of this method.Methods A retrospective study was conducted on 30 patients with large volume BPH treated with“ditching and ridge removal”with 450 nm semiconductor blue laser in Yingsheng Branch of Tai an Central Hospital during Sep.and Dec.2023.The laser operation time,level of hemoglobin before and after operation,bladder irrigation time after operation,urinary catheter indwelling time,postoperative hospital stay,and intraoperative and postoperative complications were recorded.The changes of international prostate symptom score(IPSS),quality of life scale(QoL)score,maximum urinary flow rate(Qmax)and post-void residual volume(PVR)were compared before and 1 month after operation.Results The volume of prostate was(104.5±14.52)mL,the laser operation time was(20.13±2.98)min,and the bladder irrigation time was(20.27±2.56)h.The catheter was removed in all patients 2 days after operation,and all patients were discharged 3 days after operation.One month after operation,the IPSS,QoL,Qmax and PVR were significantly improved as compared with those before operation(P<0.05).No complications occurred during the follow-up.Conclusion“Ditching and ridge removal”with 450 nm semiconductor blue laser is a new,safe and effective method in the treatment of large volume BPH.

关 键 词：450 nm蓝激光 前列腺汽化术 打沟去垄法 大体积 良性前列腺增生 

分 类 号：R697.3[医药卫生—泌尿科学]