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微创泌尿外科杂志  2016, Vol. 5 Issue (5): 275-277    
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1 470 nm激光前列腺剜除术治疗良性前列腺增生(附28例报告)
蔡星建1 张慕淳1 张茁1 张赟1 张德华1
1吉林大学中日联谊医院泌尿外科 130033 长春
1 470 nm-laser enucleation of the prostate for
treatment of benign prostatic hyperplasia (a report of 28 cases)
Cai Xingjian1 Zhang Muchun1 Zhang Zhuo1 Zhang Yun1 Zhang Dehua1
1Department of Urology, China-Japan Union Hospital of Jilin University, Changchun 130033, China
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摘要 目的:研究1 470 nm激光前列腺剜除术治疗前列腺增生症的近期临床疗效及安全性。方法:小结2015年12月~2016年3月采用国产1 470 nm激光行前列腺剜除术的28例患者临床资料。结果:28例患者手术均顺利完成,平均手术时间(94.0±19.7)min,术中出血少,无输血患者。术前与术后即刻钠离子浓度差异无统计学意义(P>0.05)。术后膀胱冲洗时间(1.6±0.5)d,留置导尿管时间(4.1±1.0)d,住院时间(6.0±1.5)d。术后3个月随访,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明显改善,且差异有统计学意义(P<0.01)。4例出现暂时性尿失禁,经盆底肌锻炼均在1个月内恢复;无尿道狭窄及需二次手术患者。结论:1 470 nm激光前列腺剜除术治疗前列腺增生症是一种安全、有效,且并发症少,术后恢复快的手术方式。
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蔡星建 张慕淳 张茁 张赟 张德华
关键词 良性前列腺增生1 470 nm激光前列腺剜除术    
Abstract:Objective: To study the short-term clinical efficacy and safety of 1 470 nm-laser enucleation of the prostate for benign prostatic hyperplasia. Methods: The clinical data of 28 cases undergoing enucleation of prostate with domestic 1 470 nm-laser from December 2015 to March 2016 were briefly summarized. Results: The 1 470 nm-laser enucleation of the prostate was successfully performed on 28 cases, with less blood loss and no blood transfusion. The average operation time was (94.0±19.7) min. There was no significant difference in instant concentrations before and after operation (P>0.05). The postoperative bladder washing time was (1.6±0.5) days, indwelling catheter time was (4.1±1.0) days, and the length of hospital stay was (6.0±1.5) days. After a 3-month follow-up, International Prostatic Symptom score (IPSS), quality of life (QOL) score, maximum flow rates (Qmax), and postvoid residual volume (PVR) were significantly improved, and the difference was statistically significant (P<0.01). Transient urinary incontinence recovered within one month after pelvic muscle exercises in 4 cases. There were no patients with urethral stricture or the need for a further surgery. Conclusions: Treatment of benign prostatic hyperplasia with 1 470 nm-laser enucleation of the prostate is a safe and effective surgical method, with few complications and speedy recovery.
Key wordsbenign prostatic hyperplasia    1 470 nm laser    enucleation of the prostate
收稿日期: 2016-06-20     
ZTFLH:  R697  
通讯作者: 张慕淳,zhangmuchun@sohu.com   
引用本文:   
蔡星建 张慕淳 张茁 张赟 张德华. 1 470 nm激光前列腺剜除术治疗良性前列腺增生(附28例报告)[J]. 微创泌尿外科杂志, 2016, 5(5): 275-277.
Cai Xingjian Zhang Muchun Zhang Zhuo Zhang Yun Zhang Dehua. 1 470 nm-laser enucleation of the prostate for
treatment of benign prostatic hyperplasia (a report of 28 cases). JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2016, 5(5): 275-277.
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