2μm激光治疗合并凝血功能障碍良性前列腺增生症的临床分析  

Clinical analysis of two micron laser vaporesection for benign prostatic hyperplasia with coagulation dysfunction

作　　者：郁华亮[1] 杨勇[1] 朱晓应[1] 杨渝[1] 马晗[1] 林茂虎[1] 邵志强[1] 吴元翼[1] 肖毅[1] 

机构地区：[1]中国人民解放军总医院第一附属医院泌尿外科,北京100048

出　　处：《微创泌尿外科杂志》2015年第5期302-305,共4页Journal of Minimally Invasive Urology

摘　　要：目的:探讨2μm激光前列腺气化切除术治疗合并凝血功能障碍良性前列腺增生症(BPH)的安全性和疗效。方法:用2μm激光分别治疗无凝血功能障碍BPH患者62例和合并凝血功能障碍BPH患者56例。比较分析两组术前临床资料及手术时间、术中出血量、术后膀胱冲洗时间、术后3个月最大尿流率(Q_(max))及国际前列腺症状评分(IPSS)。结果:两组患者年龄、前列腺重量、Q_(max)及IPSS比较均差异无统计学意义(P>0.05)。两组患者均未出现术中术后大出血、电切综合征、直肠损伤等并发症。无凝血功能障碍组平均手术时间(69.1±12.0)min,平均术中出血量(62.5±8.9)ml,平均膀胱冲洗时间(9.0±1.7)h,术后3个月平均Q_(max)(20.3±2.8)ml/s,平均IPSS(7.2±1.3)分。凝血功能障碍组平均手术时间(69.7±15.8)min,平均术中出血量(64.5±10.9)ml,平均膀胱冲洗时间(9.5±2.4)h,术后3个月平均Q_(max)(19.7±2.6)ml/s,平均IPSS(7.7±3.3)分。两组手术时间、术中出血量、术后膀胱冲洗时间、术后3个月Q_(max)及IPSS比较均差异无统计学意义(P>0.05)。结论:采用2μm激光前列腺气化切除术治疗合并凝血功能障碍的BPH患者,是安全有效的。Objective:To explore the safety and efficacy of two micron laser vaporesection for benign prostatic hyperplasia with coagulation dysfunction.Methods:Respectively.62 BPH patients with normal coagulation and 56 BPH patients with abnormal coagulation were treated with two micron laser vaporesection.The clinical data preoperation,intraoperation and postoperation were compared and analyed Results:There was no significant difference between the two groups in age,weight of prostate,Q_(max) and IPSS(P>0.05).In the two groups,no severe hemorrhage,transurethral resection syndrome and damage of rectum occurred.In the normal coagulation group,the mean time of operation was(69.1 ± 12,0) min,the mean blood loss during operation was(62.5 ± 8.9) mL,the mean time of bladder irrigating after operation was(9.0 ± 1.7) h,the mean Q_(max) at 3rd month postoperation was(20.3±2.8) mL/s and the mean IPSS at 1st month postoperation was(7.2±1.3).In the abnormal coagulation group,the mean time of operation was(69.7+15.8) min,the mean blood loss during operation was(64.5 + 10.9) mL,the mean time of bladder irrigating after operation was(9.5 ± 2.4) h,the mean Q_(max) at 3rd month postoperation was(19.7 ± 2.6) mL/s and the mean IPSS at 3rd month postoperation was(7.7±3.3).There was no significant difference between the two groups in operation time,blood loss,bladder irrigating time,Q_(max) and IPSS(P>0.05).Conclusions:Two micron laser vaporesection of the prostate is a safe and effective treatment for BPH with coagulation dysfunction.

关 键 词：良性前列腺增生症 激光 出血 

分 类 号：R697.3[医药卫生—泌尿科学]