160 W绿激光治疗大体积前列腺增生的疗效分析

摘要
图/表
参考文献
相关文章 (13)

全文: PDF (634 KB)
输出: BibTeX | EndNote (RIS)

摘要目的:探讨160 W绿激光汽化术治疗体积大于80 ml的BPH患者的疗效及手术技巧。方法:回顾性分析54例前列腺体积大于80 ml的BPH患者的围手术期及术后随访相关指标。结果:手术进行顺利,手术时间平均(78.0±15.3)min,术后留置尿管时间(3.0±1.5)d,术后住院时间(5.4±1.3)d。术后患者的IPSS评分,QOL评分,Q_max评分,膀胱剩余尿量RUV均较术前取得明显改善,差异有统计学意义(P<0.01)。术中无电切综合征发生,无输血病例。随访6个月均无尿失禁及尿路狭窄等并发症的发生。结论:160 W绿激光汽化术对体积大于80 ml的BPH患者安全性高,出血少,具有良好疗效。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	王健
	贾卓敏
	艾星
	滕竞飞
	曹志

关键词 ：前列腺增生症, 高功率绿激光系统, 经尿道绿激光汽化术

Abstract：Objective: To evaluate the operative skills and efficacy of 160 W greenlight high performance system (HPS) laser for photoselective vaporization of prostate ( PVP) in the treatment of benign prostatic hyperplasia (BPH) of more than 80 mL. Methods: Perioperative variables of 54 patients with BPH of more than 80 mL were retrospectively analyzed. Results: All operations were performed successfully. The average operative time, postoperative catheter indwelling time and the hospital stay were (78.0±15.3) min, (3.0±1.5) days, and (5.4±1.3) days, respectively. Greatly improvement was observed in IPSS score, QOL score, Q_max score and RUV after the operation (P<0.01). There was no complication of transurethal resection syndrome and need of blood infusion during the operation. No urinary tract stenosis and urinary incontinence were observed during the follow-up period of 6 months. Conclusions: 160 W greenlight HPS laser for PVP in the treatment of BPH of more than 80 mL was favorable, effective and safter.

Key words： benign prostatic hyperplasia high performance system laser photoselective vaporization of prostate

收稿日期: 2015-09-02

ZTFLH:

R697

基金资助:国家自然科学基金青年科学基金资助项目(81400701);北京军区总医院培育创新基金(2015-LC-13)

通讯作者: 艾星 E-mail: aixing0007@163.com

引用本文:

王健,贾卓敏,艾星,滕竞飞,曹志. 160 W绿激光治疗大体积前列腺增生的疗效分析[J]. 微创泌尿外科杂志, 2018, 7(s1): 27-.
Wang Jian, Jia Zhuomin, Ai Xing, Teng Jingfei, Cao Zhi. Analysis of 160 W PVP in the treatment of benign prostatic hyperplasia of more than 80 mL. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2018, 7(s1): 27-.

链接本文:

http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1403.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2018/V7/Is1/27

[1]Bushman W. Etiology, epidemiology, and natural history of benign prostatic hyperplasia. Urol Clin North Am, 2009,36(4):403-415.
[2]Tasci AI, Ilbey YO, Tugcu V, et al. Transurethral resection of the prostate with monopolarresectoscope: single-surgeon experience and long-term results of after 3589 procedures. Urology, 2011,78(5):1151-1155.
[3]Rassweiler J, Teber D, Kuntz R, et al. Complications of transurethral resection of the prostate (TURP)--incidence, management, and prevention. Eur Urol, 2006,50(5):969-979.
[4]Kang HW. Characterization on ablation performance of various surgical fibers. Lasers Med Sci, 2014,29(1):273-277.
[5]Botto H, Lebret T, Barre P, et al. Electrovaporization of the prostate with the Gyrus device. J Endourol, 2001,15(3):313-316.
[6]Te AE. The next generation in laser treatments and the role of the GreenLight high-performance system laser. Rev Urol, 2006, 8(Suppl 3):S24-S30.
[7]Tam HM, Mak SK, Law MC, et al. Photoselective vaporisation prostatectomy using a GreenLight High Performance System for patients with bleeding tendency. Hong Kong Med J, 2012,18(6):502-506.
[8]Karatas OF, Alkan E, Horasanli K, et al. Photoselective vaporization of the prostate in men with a history of chronic oral anti-coagulation. Int Braz J Urol, 2010,36(2):190-197.
[9]Sountoulides P, Tsakiris P. The evolution of KTP laser vaporization of the prostate. Yonsei Med J, 2008,49(2):189-199.
[10]王健,艾星,滕竞飞,等.绿激光汽化切除术与经尿道双极等离子电切术治疗前列腺增生的Meta分析.临床泌尿外科杂志,2015,30(9):776-782.
[11]臧亚晨,单玉喜,薛波新,等.80W和120W绿激光汽化治疗高危良性前列腺增生的疗效及安全性分析.中华男科学杂志,2012,21(5):436-440.
[12]Altay B, Erkurt B, Kiremit MC, et al. 180-W XPS GreenLight laser vaporization for benign prostate hyperplasia: 12-month safety and efficacy results for glands larger than 80 mL. Lasers Med Sci, 2015,30(1):317-323.