中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2015年
5期
352-354
,共3页
前列腺增生%铥%激光%经尿道前列腺切除术
前列腺增生%銩%激光%經尿道前列腺切除術
전렬선증생%주%격광%경뇨도전렬선절제술
Prostatic hyperplasia%Thulium%Lasers%Transurethral resection of prostate
目的 分析铥激光行经尿道前列腺汽化剜除术(TVEP)联合普通电切行经尿道前列腺切除术(TURP)治疗体积大于80 ml的良性前列腺增生症(BPH)的可行性和安全性.方法 TVEP联合TURP治疗BPH患者25例,观察手术时间、术中出血量、剜除时间、电除时间、膀胱冲洗时间、保留导尿管时间,术前及术后6个月国际前列腺症状评分、生命质量评分、最大尿流率、残余尿量等.结果 手术时间(66 ± 26) min,剜除时间(25 ±9)min,电切时间(32±8)min,术中出血量(140± 25) ml,膀胱冲洗时间(3.0±1.0)d,保留导尿管时间(5.7±1.0)d.术后6个月,最大尿流率、残余尿量、国际前列腺症状评分、生命质量评分较术前均明显改善[(18.7±1.7) ml/s比(6.8±1.7)ml/s,(18.9±1.8)ml比(65.7±8.1) ml,(8.7±1.6)分比(25.7±4.3)分,(1.7±1.2)分比(4.7±1.1)分],差异有统计学意义(P＜0.05).并发尿道狭窄2例,附睾炎3例,无输血事件,无经尿道电切综合征.结论 TVEP联合TURP治疗体积大于80 ml的BPH手术安全性高,并发症少.
目的 分析銩激光行經尿道前列腺汽化剜除術(TVEP)聯閤普通電切行經尿道前列腺切除術(TURP)治療體積大于80 ml的良性前列腺增生癥(BPH)的可行性和安全性.方法 TVEP聯閤TURP治療BPH患者25例,觀察手術時間、術中齣血量、剜除時間、電除時間、膀胱遲洗時間、保留導尿管時間,術前及術後6箇月國際前列腺癥狀評分、生命質量評分、最大尿流率、殘餘尿量等.結果 手術時間(66 ± 26) min,剜除時間(25 ±9)min,電切時間(32±8)min,術中齣血量(140± 25) ml,膀胱遲洗時間(3.0±1.0)d,保留導尿管時間(5.7±1.0)d.術後6箇月,最大尿流率、殘餘尿量、國際前列腺癥狀評分、生命質量評分較術前均明顯改善[(18.7±1.7) ml/s比(6.8±1.7)ml/s,(18.9±1.8)ml比(65.7±8.1) ml,(8.7±1.6)分比(25.7±4.3)分,(1.7±1.2)分比(4.7±1.1)分],差異有統計學意義(P＜0.05).併髮尿道狹窄2例,附睪炎3例,無輸血事件,無經尿道電切綜閤徵.結論 TVEP聯閤TURP治療體積大于80 ml的BPH手術安全性高,併髮癥少.
목적 분석주격광행경뇨도전렬선기화완제술(TVEP)연합보통전절행경뇨도전렬선절제술(TURP)치료체적대우80 ml적량성전렬선증생증(BPH)적가행성화안전성.방법 TVEP연합TURP치료BPH환자25례,관찰수술시간、술중출혈량、완제시간、전제시간、방광충세시간、보류도뇨관시간,술전급술후6개월국제전렬선증상평분、생명질량평분、최대뇨류솔、잔여뇨량등.결과 수술시간(66 ± 26) min,완제시간(25 ±9)min,전절시간(32±8)min,술중출혈량(140± 25) ml,방광충세시간(3.0±1.0)d,보류도뇨관시간(5.7±1.0)d.술후6개월,최대뇨류솔、잔여뇨량、국제전렬선증상평분、생명질량평분교술전균명현개선[(18.7±1.7) ml/s비(6.8±1.7)ml/s,(18.9±1.8)ml비(65.7±8.1) ml,(8.7±1.6)분비(25.7±4.3)분,(1.7±1.2)분비(4.7±1.1)분],차이유통계학의의(P＜0.05).병발뇨도협착2례,부고염3례,무수혈사건,무경뇨도전절종합정.결론 TVEP연합TURP치료체적대우80 ml적BPH수술안전성고,병발증소.
Objective To evaluate the feasibility and the safety of thulium laser vaporization enucleation of prostate(TVEP) combined with traditional transurethral resection of prostate (TURP) for therapy benign prostate hyperplasia (BPH) with its volume larger than 80 millilitres.Methods Twenty-five BPH patients (volume larger than 80 millilitres) underwent TVEP combined with TURP.The operation time,intraoperative blood loss,enucleation time,cutting time,bladder irrigating time,catheterization time,perioperative and 6 months' follow-up data such as the international prostate symptom score,quality of life score,the maximum urinary flow rate,the residual urine volume and so on were observed.Results The operation time was (66 ± 26) min.The enucleation time was (25 ± 9) min.The cutting time was (32 ± 8) min.The intraoperative blood loss was (140 ± 25) ml.The bladder irrigation time was (3.0 ± 1.0) d.The catheterization time was (5.7 ± 1.0) d.After 6 months,the maximum urinary flow rate,residual urine volume,international prostate symptom score and quality of life score were improved:(18.7 ± 1.7) ml/s vs.(6.8 ± 1.7) ml/s,(18.9 ± 1.8) ml vs.(65.7 ±8.1) m1,(8.7 ± 1.6) scores vs.(25.7 ±4.3) scores,(1.7 ± 1.2) scores vs.(4.7 ± 1.1) scores,and there were significant differences (P ＜ 0.05).Urethral stricture developed in 2 patients and epididymitis happened in 3 patients.No blood transfusion events and transurethral electric cutting syndrome occurred.Conclusion TVEP combined with TURP for therapy BPH larger than 80 millilitres is safe,and the incidence of complications is low.
