[1]孙邕,孙兆林,罗光恒,等.2μm激光汽化切除术治疗前列腺增生的临床研究[J].中华腔镜泌尿外科杂志(电子版),2011,(02):143-147.
　SUN Yong,SUN Zhao-ling,LUO Guang-heng,et al.Two micron continuous wave laser vaporesection for the treatment of benign prostatic hyperplasia[J].,2011,(02):143-147.
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2μm激光汽化切除术治疗前列腺增生的临床研究()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2011年02期
页码:
143-147
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Two micron continuous wave laser vaporesection for the treatment of benign prostatic hyperplasia
作者:
孙邕; 孙兆林; 罗光恒; 刘军; 王元林; 杨秀书; 朱建国
贵州省人民医院泌尿外科,贵阳,550002
Author(s):
SUN Yong; SUN Zhao-ling; LUO Guang-heng; LIU Jun; WANG Yuan-lin; YANG Xiu-shu; ZHU Jian-guo
关键词:
前列腺增生; 2μm激光; 汽化切除术
摘要:
目的 探讨2 μm激光汽化切除术治疗前列腺增生(BPH)的安全性和疗效.方法 应用70 W 2 μm连续波医用激光对70例BPH患者行2μm激光汽化切除术.患者年龄65～84,72.6±4.7岁.经直肠前列腺超声测得前列腺体积80～128 ml,平均96±13 ml.观察记录手术时间、术后留置尿管时间、手术并发症,记录并统计分析手术前后国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)及剩余尿量(PVR)等指标的差异有无统计学意义.结果 全部手术均成功,手术时间平均(802±16.9)min,术中无明显出血,无输血病例.术后平均留置尿管时间2.4±0.3 d.术后随访3个月,IPSS及QOL评分由术前平均27.9±4.6及4.9±0.6分别下降至5.7±2.0及1.3±0.8,Qmax由术前6.2±2.0 ml/s增加至术后18.4±1.9 ml/s,PVR由术前118.4±60.0 ml下降至术后22.3±9.9 ml,手术前后比较差异均有统计学意义(P<0.01).40例术前仍保持性功能者,术后均保留性功能.术后无尿失禁发生.结论 2 μm激光汽化切除术治疗良性前列腺增生症安全有效,尤其适合于高龄、高危患者,但对其长远疗效还需进一步观察.

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更新日期/Last Update: 1900-01-01