组织粉碎器在1.94μm铥激光剜除术治疗体积大于80ml前列腺增生的应用研究

发布时间：2018-06-29 16:33

本文选题：.μm铥激光 + 良性前列腺增生　；参考：《中国内镜杂志》2017年11期

【摘要】：目的探讨组织粉碎器在1.94μm铥激光剜除体积大于80 ml前列腺增生(BPH)术中的应用及效果。方法对2014年9月-2016年6月该院收治的95例体积80 ml的良性BPH患者根据剜除后组织取出方法分两组进行对照试验:A组45例,采用1.94μm铥激光剜除后汽化切割成碎块冲出;B组50例,采用1.94μm铥激光剜除后粉碎器吸出。观察两组的手术时间、术后第1天血红蛋白下降值、住院时间、获取的腺体组织重量、尿管留置时间、近期并发症发生率和术后3个月的前列腺症状评分(IPSS)、残余尿量(PVR)、最大尿流率(Qmax)和生活质量评分(QOL)。结果两组在手术时间、获取的腺体组织重量差异有统计学意义,B组手术时间明显低于A组(P0.05),获取的腺体组织重量明显多于A组(P0.05)。两组在血红蛋白下降量、住院时间、留置尿管时间和近期并发症差异无统计学意义(P0.05)。术后3个月复查IPSS、PVR、Qmax和QOL,两组均比术前有显著改善(P0.05),两组间术后IPSS、PVR、Qmax和QOL比较差异无统计学意义(P0.05)。结论 1.94μm铥激光前列腺剜除术后无论是采取激光汽化切割组织还是用粉碎器吸出组织,均具有安全性高、疗效好和并发症低等特点。但采取粉碎器吸出组织具有能缩短手术时间、获取更多的组织标本等优势。
[Abstract]:Objective to investigate the application and effect of tissue pulverizer in 1.94 渭 m thulium laser enucleation of benign prostatic hyperplasia (BPH). Methods from September 2014 to June 2016, 95 patients with benign BPH, 80 ml in volume, were divided into two groups according to the method of tissue extraction after enucleation. The control group consisted of 45 cases in group A and 50 cases in group B after vaporization with 1.94 渭 m thulium laser. A 1.94 渭 m thulium laser was used to extirpate the pulverizer. The operation time, hemoglobin drop, hospitalization time, the weight of gland tissue, the time of indwelling urethral catheter were observed in the two groups. The incidence of recent complications, prostate symptom score (IPSS), residual urine volume (PVR), maximum flow rate (Qmax) and quality of life (QOL) were measured 3 months after operation. Results there was significant difference in the weight of glandular tissue between the two groups. The operative time of group B was significantly lower than that of group A (P0.05), and the weight of glandular tissue was significantly higher than that of group A (P0.05). There was no significant difference between the two groups in the decrease of hemoglobin, the time of hospitalization, the time of indwelling urethral catheter and the recent complications (P0.05). Three months after operation, IPSSV PVRmax and QOLwere significantly improved in both groups (P0.05), and there was no significant difference between the two groups in IPSS PVRmax and QOL (P0.05). Conclusion 1.94 渭 m thulium laser enucleation of the prostate has the characteristics of high safety, good curative effect and low complications, whether it is cut by laser vaporization or sucked out by comminution. But it has the advantage of shortening the operation time and obtaining more tissue samples.
【作者单位】：解放军第159中心医院泌尿外科;
【分类号】：R699.8

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