CAJ | 학술논문

目的：探讨经尿道钬激光前列腺剜除术（Holmium Iaserenueleation of the Porsetet，HoLEP）治疗大体积前列腺增生的疗效和安全性。方法收集2012年2月至2015年2月在我院以前列腺增生收住院的患者68例为研究对象，前列腺体积均≥80 g，所有患者行硬膜外麻醉下大功率钬激光器以及组织粉碎器经尿道前列腺剜除与前列腺组织粉粹术。结果所有患者均一次手术成功，手术时间50~120 min，出血量40~210 mL。术后保留导尿2~7 d，残余尿量0~40 mL术后住院时间3~14 d。结论 HoLEP是一种安全、有效的外科治疗BPH的方法，尤其在处理大体积的BPH时。有学者提出HoLEP可能成为BHP手术治疗的金标准。
목적：탐토경뇨도화격광전렬선완제술（Holmium Iaserenueleation of the Porsetet，HoLEP）치료대체적전렬선증생적료효화안전성。방법수집2012년2월지2015년2월재아원이전렬선증생수주원적환자68례위연구대상，전렬선체적균≥80 g，소유환자행경막외마취하대공솔화격광기이급조직분쇄기경뇨도전렬선완제여전렬선조직분수술。결과소유환자균일차수술성공，수술시간50~120 min，출혈량40~210 mL。술후보류도뇨2~7 d，잔여뇨량0~40 mL술후주원시간3~14 d。결론 HoLEP시일충안전、유효적외과치료BPH적방법，우기재처리대체적적BPH시。유학자제출HoLEP가능성위BHP수술치료적금표준。
ObjectiveDiscuss transurethral holmium laser prostate gouge out except (Holmium Iaserenueleation of the Porsetet, HoLEP) efifcacy and safety for the treatment of large volume of hyperplasia of prostate.MethodCollected in February 2012 - February 2015 in our hospital with hyperplasia of prostate to collect 68 cases of hospitalized patients as the research object, prostate volume is 80 g, or all the lines of epidural anesthesia in patients with high power holmium laser and tissue grinder transurethral prostatic gouge out in addition to the essence and prostate tissue powder.ResultAll of the patients only one operation is a success, operation time 50-120 min, the bleeding 40-210 mL. Keeping catheter after 2-7 d, residual urine volume 0-40 mL postoperative hospitalization time 3-14 d.ConclusionHoLEP is a safe and effective method of surgical treatment of BPH, especially in dealing with a large volume of BPH. Some scholars put forward HoLEP could become BHP surgical treatment of the gold standard.