绿激光(120 W)汽化术治疗100 g以上良性前列腺增生症临床观察(附78例报告)

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摘要 目的:总结经尿道选择性120 W绿激光前列腺汽化术治疗100 g以上BPH的安全性及有效性。方法:回顾性分析2010年7月～2012年8月经尿道选择性120 W绿激光汽化术治疗的78例100 g以上BPH患者的围手术期及随访资料,分析术后症状缓解及术中、术后并发症发生情况。结果:手术均顺利,无电切综合征发生,无输血、死亡病例,手术时间(73.0±24.5)min,术中出血量(37.8±24.1)ml,术后膀胱冲洗(24.8±12.4)h,术后留置尿管时间平均(3.2±0.8)d,术后平均住院时间(5.4±1.8)d。术后国际前列腺症状评分、生活质量评分、最大尿流率及剩余尿量均较术前显著改善。随访期间无尿失禁及尿道狭窄发生。结论:经尿道120 W绿激光汽化术治疗大腺体BPH具有良好的临床疗效及安全性。

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关键词 ：前列腺增生症, 绿激光, 激光手术

Abstract：Objective:To evaluate the efficacy and safety of 120 W PVP in the treatment of benign prostatic hyperplasia with more than 100 g.Methods:The 78 patients with benign prostatic hyperplasia more than 100 g who accepted the treatment of 120 W PVP between 2010 July and 2012 August. Postoperative remission of symptoms and complications about 87 cases were retrospective analysed.Results:All operations were successfully. There were no TURP syndrome, no deaths and no blood transfusion case. The average operation time was (73.0±24.5) min, the average volume of bleeding was (37.8±24.1) ml,the time of postoperative bladder irrigation was (24.8±12.4) h, the average postoperative indwelling catheter time was (3.2±0.8) d, postoperative the average hospital stay was(5.4±1.8) d. Postoperative the international prostate symptom score, quality of life, maximum urinary flow rate and residual urine volume compared with the preoperative were significantly improved.Conclusions:120 W PVP in the treatment of a large gland benign prostatic hyperplasia has good clinical efficacy and safety.

Key words： benign prostatic hyperplasia photoselective vaporization of prostate laser surgery

收稿日期: 2013-01-15

ZTFLH:

R697

通讯作者: 陈立军,chenlj829@163.com

引用本文:

唐飞, 刘杰, 李学超, 曲楠, 赵立, 陈立军. 绿激光(120 W)汽化术治疗100 g以上良性前列腺增生症临床观察(附78例报告)[J]. 微创泌尿外科杂志, 2013, 2(2): 128-130.
Tang Fei, Liu Jie, Li Xuechao, Qu Nan, Zhao Li, Chen Lijun. Analysis of 120 W PVP in the treatment of benign prostatic hyperplasia with more than 100 g (Report of 78 cases ). JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2013, 2(2): 128-130.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract996.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2013/V2/I2/128

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