中华老年多器官疾病杂志
中華老年多器官疾病雜誌
중화노년다기관질병잡지
CHINESE JOURNAL OF MULTIPLE ORGAN DISEASES IN THE ELDERLY
2013年
7期
493-496
,共4页
孙震鹏%黄晨%陈立军%赵立%曲楠%吴世奎
孫震鵬%黃晨%陳立軍%趙立%麯楠%吳世奎
손진붕%황신%진립군%조립%곡남%오세규
前列腺增生%老年人%激光疗法
前列腺增生%老年人%激光療法
전렬선증생%노년인%격광요법
prostatic hyperplasia%aged%laser therapy
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。
目的探討選擇性120W綠激光汽化術治療高齡高危良性前列腺增生癥(BPH)的療效及安全性。方法選取2010年5月至2012年12月在解放軍第307醫院泌尿外科住院的符閤高齡高危BPH診斷標準的患者86例,平均年齡76.5(70~93)歲。統計分析應用選擇性120W綠激光汽化術進行治療的相關臨床資料。結果86例患者均順利完成手術。手術時間(28.7±9.4)min,術中齣血量(14.8±9.0)ml,術中無輸血病例。術後留置導尿管時間(2.0±0.7)d,住院時間(3.2±1.1)d。拔除導尿管後齣現短暫性排尿睏難、輕度尿路刺激癥狀、繼髮性血尿、短暫性急迫性尿失禁等併髮癥,均經相應處理後改善。術後1箇月、6箇月國際前列腺癥狀評分(IPSS)、最大尿流率及殘餘尿情況與術前相比差異均有統計學意義(P<0.01)。結論此方法手術時間短、齣血少、恢複快、安全性高,是針對高齡高危BPH患者理想的微創治療方法。
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.