CAJ | 학술논문

　　目的探讨选择性120W绿激光汽化术治疗高龄高危良性前列腺增生症（BPH）的疗效及安全性。方法选取2010年5月至2012年12月在解放军第307医院泌尿外科住院的符合高龄高危BPH诊断标准的患者86例，平均年龄76.5（70～93）岁。统计分析应用选择性120W绿激光汽化术进行治疗的相关临床资料。结果86例患者均顺利完成手术。手术时间（28.7±9.4）min，术中出血量（14.8±9.0）ml，术中无输血病例。术后留置导尿管时间（2.0±0.7）d，住院时间（3.2±1.1）d。拔除导尿管后出现短暂性排尿困难、轻度尿路刺激症状、继发性血尿、短暂性急迫性尿失禁等并发症，均经相应处理后改善。术后1个月、6个月国际前列腺症状评分（IPSS）、最大尿流率及残余尿情况与术前相比差异均有统计学意义（P＜0.01）。结论此方法手术时间短、出血少、恢复快、安全性高，是针对高龄高危BPH患者理想的微创治疗方法。
　　목적탐토선택성120W록격광기화술치료고령고위량성전렬선증생증（BPH）적료효급안전성。방법선취2010년5월지2012년12월재해방군제307의원비뇨외과주원적부합고령고위BPH진단표준적환자86례，평균년령76.5（70～93）세。통계분석응용선택성120W록격광기화술진행치료적상관림상자료。결과86례환자균순리완성수술。수술시간（28.7±9.4）min，술중출혈량（14.8±9.0）ml，술중무수혈병례。술후류치도뇨관시간（2.0±0.7）d，주원시간（3.2±1.1）d。발제도뇨관후출현단잠성배뇨곤난、경도뇨로자격증상、계발성혈뇨、단잠성급박성뇨실금등병발증，균경상응처리후개선。술후1개월、6개월국제전렬선증상평분（IPSS）、최대뇨류솔급잔여뇨정황여술전상비차이균유통계학의의（P＜0.01）。결론차방법수술시간단、출혈소、회복쾌、안전성고，시침대고령고위BPH환자이상적미창치료방법。
Objective To assess the efficacy and safety of photoselective vaporization of the prostate with 120W green light laser in the treatment of benign prostatic hyperplasia (BPH) in high-risk aged patients. Methods Clinical data of 86 high-risk patients with a mean age of 76.5 (ranging from 70 to 93) years who underwent photoselective vaporization of prostate (120W) for the treatment of BPH in our department from May 2010 to December 2012 were collected and retrospectively analyzed. Results All surgery procedures were completed successfully. The operation time was (28.7±9.4)min, and intra-operative blood loss was (14.8±9.0)ml, with no one requiring blood transfusion intra-operatively. The duration of post-operative indwelling catheter was (2.0±0.7)d, and hospitalization time was (3.2±1.1)d. Postoperative complications included transient dysuria, mild urinary tract irritation, secondary hematuria, and transient urge incontinence. All these symptoms were relieved after treatment. There were significant differences in International Prostate Symptom Score (IPSS), maximum flow rate and residual urine volume at 1 and 6 months after operation compared with pre-operation(P<0.01). Conclusions Photoselective vaporization of prostate (120W) has advantages of shorter operation time, less blood loss, rapid recovery, and high safety. It is an ideal and minimally invasive approach for high-risk elderly patients with BPH.