CAJ | 학술논문

经尿道2μm激光同期治疗前列腺增生并发膀胱结石22例
경뇨도2μm격광동기치료전렬선증생병발방광결석22례
Transurethral 2μm continuous wave laser in treatment of prostatic hyperplasia with bladder stones:A report of 22 cases

万方数据

解放军医学院学报解放軍醫學院學報 해방군의학원학보
Academic Journal of Chinese Pla Medical School
2013年 8期 828-830 ,共3页

韩刚%陈宇东%张艳%刘伟英%王领军%王强%王志鹏%史建国%刘同伟%苑海波%殷晓松%李春吾%张倩

한강%진우동%장염%류위영%왕령군%왕강%왕지붕%사건국%류동위%원해파%은효송%리춘오%장천

前列腺增生%膀胱结石%激光手术前列腺增生%膀胱結石%激光手術
전렬선증생%방광결석%격광수술
prostatic hyperplasia%urinary bladder calculi%laser surgery

　　目的探讨2μm激光同期治疗前列腺增生并发膀胱结石的临床疗效。方法回顾性分析2011年3月-2012年6月本院完成的22例经尿道2μm激光同期治疗前列腺增生并发膀胱结石患者的临床资料。结果全部患者手术均获成功。患者中位年龄72(57~78)岁，结石中位直径12(3~20) mm，前列腺中位体积42.45(28.05~92.95) ml。2μm激光碎石中位时间28(9~46) min，手术中位时间100(40-130) min，术中中位出血量70(20-130) ml，术后留置尿管中位时间6(3~7) d。术后随访3~12个月，国际前列腺症状评分(international prostatic symptoms score，IPSS)由术前中位评分22(14~31)分降低到术后7(3~11)分(t=-12.591，P＜0.01)，最大尿流率(Qmax)由术前中位最大尿流率4.0(2.0~10.0) ml/s升高到术后19.5(15.0~24.0) ml/s(t=-14.111， P＜0.01)。结论采用2μm激光腔内同期治疗前列腺增生伴膀胱结石安全有效，是高龄、高危患者较为理想的微侵袭性手术治疗方法。
　　목적탐토2μm격광동기치료전렬선증생병발방광결석적림상료효。방법회고성분석2011년3월-2012년6월본원완성적22례경뇨도2μm격광동기치료전렬선증생병발방광결석환자적림상자료。결과전부환자수술균획성공。환자중위년령72(57~78)세，결석중위직경12(3~20) mm，전렬선중위체적42.45(28.05~92.95) ml。2μm격광쇄석중위시간28(9~46) min，수술중위시간100(40-130) min，술중중위출혈량70(20-130) ml，술후류치뇨관중위시간6(3~7) d。술후수방3~12개월，국제전렬선증상평분(international prostatic symptoms score，IPSS)유술전중위평분22(14~31)분강저도술후7(3~11)분(t=-12.591，P＜0.01)，최대뇨류솔(Qmax)유술전중위최대뇨류솔4.0(2.0~10.0) ml/s승고도술후19.5(15.0~24.0) ml/s(t=-14.111， P＜0.01)。결론채용2μm격광강내동기치료전렬선증생반방광결석안전유효，시고령、고위환자교위이상적미침습성수술치료방법。
Objective To study the clinical effect of transurethral 2μm continuous wave laser on prostatic hyperplasia with bladder stones. Methods Clinical data about 22 patients with prostatic hyperplasia accompanying bladder stones who underwent transurethral 2μm continuous wave laser operation in our hospital from March 2011 to June 2012 were retrospectively analyzed. Results The operation was successful in all the patients. The average age of the patients was 72 years (57-78 years). The average diameter of stones was 12 mm (3-20 mm). The average volume of prostates was 42.45 ml (28.05-92.95 ml). The average time of lithotrity with 2μm continuous wave laser was 28 min (9-46 min), the average operation time was 100 min (40-130 min), and the average time of indwelling catheter was 6 days (3-7 days) after operation. The patients were followed up for 3-12 months after operation. The average international prostatic symptoms score (IPSS) decreased from 22 (14-31) before operation to 7 (3-11) after operation (t=-12.591, P < 0.01).The Qmax increased from 4.0 ml/s (2.0-10.0 ml/s) before operation to 19.5 ml/s (15.0-24.0 ml/s) after operation (t=-14.111, P<0.01). Conclusion Transurethral 2μm continuous wave laser lithotrity is a safe and effective procedure for elderly and high-risk patients with prostatic hyperplasia accompanying bladder stones.