CAJ | 학술논문

目的探讨经尿道980 nm半导体激光治疗高危BPH的安全性及围手术期处理.方法应用980 nm半导体激光系统治疗高危BPH患者170例,观察平均手术时间、术中出血量、手术并发症、手术前后IPSS、膀胱残余尿量及尿流率等指标的差异.结果 170例均安全渡过围手术期,平均手术时间(74±11)min,手术切除前列腺组织质量(54±12)g,出血量(72±11)ml,术中未发生电切综合征.170例术后随访2～24个月.术后复查IPSS由术前25.0±5.5降至9.0±2.5,Qmax由术前(6.2±2.3)ml/s增加至(17.4±3.5)ml/s,残余尿量由术前(210.0±25.6)ml降至(25.2±4.6)ml,手术前后比较差异均有统计学意义(P＜0.05).结果经尿道980 nm半导体激光汽化术是治疗高危BPH安全有效且并发症少的新方法.
목적 탐토경뇨도980 nm반도체격광치료고위BPH적안전성급위수술기처리.방법 응용980 nm반도체격광계통치료고위BPH환자170례,관찰평균수술시간、술중출혈량、수술병발증、수술전후IPSS、방광잔여뇨량급뇨류솔등지표적차이.결과 170례균안전도과위수술기,평균수술시간(74±11)min,수술절제전렬선조직질량(54±12)g,출혈량(72±11)ml,술중미발생전절종합정.170례술후수방2～24개월.술후복사IPSS유술전25.0±5.5강지9.0±2.5,Qmax유술전(6.2±2.3)ml/s증가지(17.4±3.5)ml/s,잔여뇨량유술전(210.0±25.6)ml강지(25.2±4.6)ml,수술전후비교차이균유통계학의의(P＜0.05).결과 경뇨도980 nm반도체격광기화술시치료고위BPH안전유효차병발증소적신방법.
Objective To explore the efficacy and safety of 980 nm diode laser therapy for treatment of benign prostatic hyperplasia (BPH). Methods Data of 170 patients with BPH treated with 980nm diode laser system were reviewed. The mean operative time, blood loss, surgical complications, the international prostate symptom score (IPSS), bladder residual urine volume and flow rate changes were collected and analyzed. Results One hundred and seventy cases were safe during the perioperative period. The average operation time was (74 ± 11) min, surgical removal of prostate tissue mass of (54±12) g, blood loss (72±11) ml. There was no TUR syndrome occurred. 170 patients were followed up 2 to 24 months. The IPSS decreased from preoperative 25.0±5.5 to 9.0±2.5. The maximum flow rate increased from preoperative (6.2±2.3)ml/s to post-operative (17.4±3.5) ml/s. The residual urine volume decreased from preoperative (210.0±25.6) ml to postoperative (25.2±4.6) ml. All the differences were statistically significant (P＜0.05). Conclusion Transurethral vaporization of 980 nm diode laser could be a safe and effective treatment modality for BPH.