现代泌尿生殖肿瘤杂志
現代泌尿生殖腫瘤雜誌
현대비뇨생식종류잡지
JOURNAL OF CONTEMPORARY UROLOGIC AND REPRODUCTIVE ONCOLOGY
2014年
6期
343-346
,共4页
郭和清%刘红明%周高标%孙斌%邢继章%李建业%穆大为%严景民%李迪%洪泉
郭和清%劉紅明%週高標%孫斌%邢繼章%李建業%穆大為%嚴景民%李迪%洪泉
곽화청%류홍명%주고표%손빈%형계장%리건업%목대위%엄경민%리적%홍천
2μm激光%剜除术%良性前列腺增生%随访研究
2μm激光%剜除術%良性前列腺增生%隨訪研究
2μm격광%완제술%량성전렬선증생%수방연구
2 micron laser%Enucleation%BPH%Follow-up studies
目的：探讨经尿道2μm激光前列腺剜除术治疗BP H的疗效和安全性。方法比较分析2009年4月至2011年3月接受经尿道2μm激光前列腺剜除术治疗的190例 BPH患者术前、术中及术后相关临床指标,随访时间长达3年。结果手术平均切除前列腺组织(23.96±15.8)g,平均手术时间(70.5±11.6)min,术中平均出血量(20.2±16.9)ml。所有患者手术前后血钠浓度及血红蛋白水平均无明显变化,国际前列腺症状评分、生活质量评分及最大尿流率均较术前有明显改善。3例患者术后出现继发性尿失禁,经功能锻炼3个月后康复。结论经尿道2μm 激光前列腺剜除术具有良好的止血效果,切除增生前列腺组织更彻底,手术风险显著降低,是治疗 BP H 安全、有效的微创手术方式,疗效持久、稳定。
目的：探討經尿道2μm激光前列腺剜除術治療BP H的療效和安全性。方法比較分析2009年4月至2011年3月接受經尿道2μm激光前列腺剜除術治療的190例 BPH患者術前、術中及術後相關臨床指標,隨訪時間長達3年。結果手術平均切除前列腺組織(23.96±15.8)g,平均手術時間(70.5±11.6)min,術中平均齣血量(20.2±16.9)ml。所有患者手術前後血鈉濃度及血紅蛋白水平均無明顯變化,國際前列腺癥狀評分、生活質量評分及最大尿流率均較術前有明顯改善。3例患者術後齣現繼髮性尿失禁,經功能鍛煉3箇月後康複。結論經尿道2μm 激光前列腺剜除術具有良好的止血效果,切除增生前列腺組織更徹底,手術風險顯著降低,是治療 BP H 安全、有效的微創手術方式,療效持久、穩定。
목적：탐토경뇨도2μm격광전렬선완제술치료BP H적료효화안전성。방법비교분석2009년4월지2011년3월접수경뇨도2μm격광전렬선완제술치료적190례 BPH환자술전、술중급술후상관림상지표,수방시간장체3년。결과수술평균절제전렬선조직(23.96±15.8)g,평균수술시간(70.5±11.6)min,술중평균출혈량(20.2±16.9)ml。소유환자수술전후혈납농도급혈홍단백수평균무명현변화,국제전렬선증상평분、생활질량평분급최대뇨류솔균교술전유명현개선。3례환자술후출현계발성뇨실금,경공능단련3개월후강복。결론경뇨도2μm 격광전렬선완제술구유량호적지혈효과,절제증생전렬선조직경철저,수술풍험현저강저,시치료 BP H 안전、유효적미창수술방식,료효지구、은정。
Objective To investigate the safety and efficiency of transurethral 2μm laser enu-cleation in treating the benign prostatic hyperplasia(BPH). Methods 190 cases of BPH were di-vided into two groups randomly.They were underwent transurethral prostate enucleation with 2μm laser in our hospital from April 2009 to March 2011.The pre,mid,and postoperative clinical inde-xes were collected and analyzed. Results The amount of removed prostatic tissue was (23.96± 15.8)g.The average operational duration was (70.5±11.6)min.The mean blood loss during opera-tion was (20.2±16.9)ml.There were no significant change in serum sodium concentration and he-moglobin levels before comand after surgery.The international prostate symptoms score (IPSS), quality of life (QOL)and maximal urinary flow rate (Qmax)was improved significantly after opera-tion.3 patients developed into the secondary urinary incontinence and then recovered in 3 months lat-er through functional exercises. Conclusions The transurethral prostate enucleation with 2μm la-ser in treating the BPH has more radical resection of hyperplastic prostate tissue,less blood loss. The transurethral prostate enucleation with 2 μm laser is a safe and effective minimally invasive treatment for BPH,and showing the stable and sustained curative effects.
