摘要
目的探讨980/1470 nm双波长激光经尿道前列腺切除术(TULP)治疗良性前列腺增生(BPH)的疗效.方法采用经尿道980/1470 nm双波长TULP术治疗BPH 210例,观察手术情况,随访1~12个月,于术前及术后1、3、6、12个月评估最大尿流率、膀胱残余尿量及国际前列腺症状评分表(IPss)评分及生活质量评分.结果术中平均手术时间(58.12±21.25)min、激光照射时间(25.80±8.96)min,平均出血量(45.22±17.13)mL,无1例患者输血,无耻骨上膀胱穿刺造瘘.术后平均留置尿管(48.82±17.04)h、平均住院(3.01±1.72)d,术后1个月,排尿费力、尿频、尿急症状均逐渐改善.术后1、3、6及12个月后最大尿流率、膀胱残余尿量、IPSS评分及生活质量评分均优于术前(P<0.01).结论980/1470 nm双波长TULP术治疗BPH具有安全性高、损伤小、并发症少等优点,值得临床推广使用.
Objective To investigate the clinical effect of 980/1470 nm dual-wavelength laser transurethral prostatectomy in the treatment of benign prostatic hyperplasia(BHP).Methods A total of 210 patients with BHP were treated with 980/1470nm dual-wavelength laser transurethral prostatectomy.Operations were observed and the patients were followed up for 1 to 12 months.Maximum flow rate,bladder urine residue,International Prostate Symptom Score(IPSS)and the life quality score were detected preoperatively and at the end of 1 month,3 months,6 months,12 months postoperatively.Results Mean operation time was(58.12±21.25)min.Laser irradiation time was(25.80±8.96)min,and mean bleeding volume was(45.22±17.13)mL during operation.No case received blood transfusion or suprapubic puncture cystostomy.the mean time of postoperative indwelling catheter after operation was(48.82±17.04)h.The mean hospital stay was(3.01±1.72)d.arduous,frequent and urgent micturition were relieved gradually 1 month after operation.Maximum flow rate,bladder urine residue,Intemational Prostate Symptom Score(IPSS)and life quality score at the end of 1,3,6 and 12 months after operation were better than before(P<0.01).Conclusion 980/1470 nm dual-wavelength laser transurethral prostatectomy,which has the advantages of high safety,little damage,few complications,etc,is worth promoting the use in clinic.
作者
乔玉华
左树森
李东顺
郝强
QIAO Yu-hua;ZUO Shu-sen;LI Do-shun;HAO Qiang(Department of Urology,Second Afiliated Hospital of Xingtai Medical College,Xingtai 054000,Hebei,China)
出处
《山东大学学报（医学版）》
CAS
北大核心
2014年第S01期85-87,共3页
Journal of Shandong University:Health Sciences
关键词
良性前列腺增生
双波长激光
前列腺切除术
Benign prostate hyperplasia
Dual-wavelength laser
Transurethral prostatectomy
