CAJ | 학술논문

目的：研究使用1470nm半导体激光治疗BPH的有效性和安全性.方法：应用1470nm半导体激光系统治疗BPH患者87例,观察手术时间、术中出血情况、手术前后IPSS 、QOL 、膀胱剩余尿、尿流率及术后留置尿管时间等指标.结果：87例患者均由同一术者一次性成功完成手术.本组手术时间为(72±31)min ,出血量(23±11)ml .所有患者均未输血,未发生电切综合征,术后平均留置尿管时间(35±20)h .87例术后随访3~12个月.术后复查IPSS 由术前(27.3±2.4)分降至(5.8±1.6)分,QOL 由术前(4.8±1.1)分降至(1.7±0.4)分,Q max 由术前(6.3±3.2)ml/s 增加至(19.8±2.1)ml/s ,剩余尿由术前(86.7±139.5)ml 降至(29.3±5.1)ml ,手术前后比较均差异有统计学意义(P ＜0.05).结论：1470nm半导体激光汽化术是治疗BPH安全高效且并发症少的新方法.
목적：연구사용1470nm반도체격광치료BPH적유효성화안전성.방법：응용1470nm반도체격광계통치료BPH환자87례,관찰수술시간、술중출혈정황、수술전후IPSS 、QOL 、방광잉여뇨、뇨류솔급술후류치뇨관시간등지표.결과：87례환자균유동일술자일차성성공완성수술.본조수술시간위(72±31)min ,출혈량(23±11)ml .소유환자균미수혈,미발생전절종합정,술후평균류치뇨관시간(35±20)h .87례술후수방3~12개월.술후복사IPSS 유술전(27.3±2.4)분강지(5.8±1.6)분,QOL 유술전(4.8±1.1)분강지(1.7±0.4)분,Q max 유술전(6.3±3.2)ml/s 증가지(19.8±2.1)ml/s ,잉여뇨유술전(86.7±139.5)ml 강지(29.3±5.1)ml ,수술전후비교균차이유통계학의의(P ＜0.05).결론：1470nm반도체격광기화술시치료BPH안전고효차병발증소적신방법.
To study the efficacy and safety of 1470 nm diode laser for the treatment of benign prostat-ichyperplasia (BPH).Methods :A total of 87 patients under went vaporization of the prostate using 1470 nm diode laser .The mean operative time ,blood loss ,the international prostate symptom score (IPSS),the score of life quali-ty ,bladder resi dual urine volume ,flow rate and ind welling catheterizati on time were recorded and analyzed .Results :All procedures were successfully performed by one operation .The operation time was (72 ±31 )min ,and blood loss (23 ±11)mL .No case needed blood transfusion ,and there was no TURP-related syndro me .The meanind welling catheterizati on time was (35 ±20 )h .Eighty-seven cases were followed up for 3 to 12 months .The IPSS was de-creased from preoperative (27.3±2.4)to (5.8±1.6).The QOL was decreased from preoperative (4.8 ±1.1 )to (1.7 ±0.4 ).The maximum flow rate was increased from preoperative (6.3 ±3.2 )mL/s to (19.8 ±2.1 )mL/s .The residualurine volume was decreased from preoperative (86.7 ±1 39.5 )mL to (29.3 ±5.1 )mL .All the differences were statistically significant (P <0.05 ).Conclusions :1470nm diode laser is safe ,efficacious and mini mally invasive for the patients of BPH .