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.
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.
[1]Gu X, Strom K, Spaliviero M, et al. Does age affect the efficacy and safety of GreenLight HPSTM laser photoselective vaporization prostatectomy? Aging Male,2012,15(1):63-67.
[2]熊玮,冉清,窦科,等. 经尿道选择性绿激光汽化术治疗大体积良性前列腺增生症.华西医学,2010,25(9):1615-1617.
[3]Gondon NS,Hadlow G,Knight E,et al. Transurethral resection of the prostate:still the gold standard. Aust N Z Surg, 1997, 67(6): 354-357.
[4]徐明,单玉喜, 高鹏,等. 绿激光光汽化术联合电切术治疗大体积前列腺的疗效分析.江苏医药,2009,35(12):1409-1411.
[5]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.
[6]Alivizatos G,Skolarikos A.Laser in benign prostatic hyperplasia:turning green into gold. Curr Opin Urol,2008,18(1):46-49.
[7]申长发,刘辉,金讯波,等. 经尿道选择性绿激光前列腺汽化术治疗巨大前列腺增生症. 山东大学学报(医学版),2008,64(12):1207-1208.
[8]Hai MA. Photoselective vaporization of prostate: five-year outcomes of entire clinic patient population. Urology,2009,73(4):807-810.
[9]Malte R, Nicole EM, Gernot B, et al. Complications of laser prostatectomy: a review of recent data. World J Urol, 2010, 28: 53-62.
[10]Ruszat R, Seitz M, Wyler SF, et al. GreenLight laser vaporization of the prostate: single-center experience and long-term results after 500 procedures. Eur Urol, 2008, 54(4):893–901.
[11]杨全成,王彤,贾东升,等.经尿道绿激光前列腺汽化术治疗高龄高危良性前列腺增生42例疗效分析. 中华男科学杂志,2010,16(10):940-942.
[12]梁伟东, 白亮, 钟羽翔,等.经尿道前列腺电切术(TURP)患者PSA变化的临床研究. 遵义医学院学报,2008,31(2) :132-133.
[13]洪宝发,符伟军,蔡伟,等. 经尿道选择性绿激光前列腺汽化术治疗高龄高危良性前列腺增生. 中华泌尿外科杂志,2006,27(1):43-45.
