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微创泌尿外科杂志  2014, Vol. 3 Issue (2): 112-114    
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1 470 nm半导体激光汽化术治疗良性前列腺增生症
刘萃龙1,周茂军1,赵豫波1,欧阳昀1,关维民1,吴意光1,徐衍盛1
1中国人民解放军海军总医院泌尿外科 100048 北京
1 470 nm diode laser vaporization prostatectomy for the treatment of benign prostatec hyperplasia
Liu Cuilong1,Zhou Maojun1,Zhao Yubo1,Ouyang Yun1,Guan Weimin1,Wu Yiguang1,Xu Yansheng
1Department of Urology, Naval General Hospital, Beijing 100048, China
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摘要 目的:研究使用1 470 nm半导体激光治疗BPH的有效性和安全性。方法:应用1 470 nm半导体激光系统治疗BPH患者87例,观察手术时间、术中出血情况、手术前后IPSS、QOL、膀胱剩余尿、尿流率及术后留置尿管时间等指标。结果:87例患者均由同一术者一次性成功完成手术。本组手术时间为(72±31)min,出血量(23±11)ml。所有患者均未输血,未发生电切综合征,术后平均留置尿管时间(35±20)h。87例术后随访3~12个月。术后复查IPSS由术前(27.3±2.4)分降至(5.8±1.6)分,QOL由术前(4.8 ±1.1)分降至(1.7±0.4)分,Qmax由术前(6.3±3.2)ml/s增加至(19.8±2.1)ml/s,剩余尿由术前(86.7±139.5) ml降至(29.3±5.1)ml,手术前后比较均差异有统计学意义(P<0.05)。结论:1 470 nm半导体激光汽化术是治疗BPH安全高效且并发症少的新方法。
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刘萃龙
周茂军
赵豫波
欧阳昀
关维民
吴意光
徐衍盛
关键词 半导体激光前列腺汽化术前列腺增生    
AbstractObjective:To study the efficacy and safety of 1 470 nm diode laser for the treatment of benign prostatic hyperplasia (BPH). Methods:A total of 87 patients underwent vaporization of the prostate using 1 470 nm diode laser. The mean operative time, blood loss, the international prostate symptom score (IPSS), the score of life quality, bladder residual urine volume, flow rate and indwelling catheterization time were recorded and analyzed. Results:All procedures were successfully performed by one operation. The operation time was (72±31) min, and blood loss (23±11) mL. No case needed blood transfusion, and there was no TURP-related syndrome. The mean indwelling catheterization time was (35±20) h. Eighty-seven cases were followed up for 3 to 12 months. The IPSS was decreased from preoperative (27.3±2.4) to (5.8±1.6). The QOL was decreased from preoperative (4.8±1.1) to (1.7±0.4). The maximum flow rate was increased from preoperative (6.3±3.2) mL/s to (19.8±2.1) mL/s. The residual urine volume was decreased from preoperative (86.7±139.5) mL to (29.3±5.1) mL. All the differences were statistically significant (P<0.05). Conclusions:1 470 nm diode laser is safe, efficacious and minimally invasive for the patients of BPH.
Key wordsdiode laser    vaporization prostatectony    postatic hyperplasia
收稿日期: 2014-03-04     
ZTFLH:  R697  
通讯作者: 刘萃龙,LCLwq-83107@163.com   
引用本文:   
刘萃龙,周茂军,赵豫波,欧阳昀,关维民,吴意光,徐衍盛. 1 470 nm半导体激光汽化术治疗良性前列腺增生症[J]. 微创泌尿外科杂志, 2014, 3(2): 112-114.
Liu Cuilong,Zhou Maojun,Zhao Yubo,Ouyang Yun,Guan Weimin,Wu Yiguang,Xu Yansheng. 1 470 nm diode laser vaporization prostatectomy for the treatment of benign prostatec hyperplasia. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2014, 3(2): 112-114.
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