1470nm激光治疗高危前列腺增生患者的临床研究
发布时间：2018-10-19 11:52
【摘要】：目的:1470nm半导体激光治疗高危前列腺增生患者的临床研究。方法:回顾性分析我院2015年7月-2017年2月应用1470nm半导体激光治疗高危BPH患者61例临床资料.比较手术前后血红蛋白(Hb)的变化,生活质量评分(QOL),国际前列腺症状评分(IPSS),残余尿量(RU),最大尿流率(Qmax)等指标。结果:全部手术成功,手术时间10-78min,平均为42min,61例患者均能自主排尿,Hb较术前轻度下降,未出现大出血、TURS及尿失禁,2例全麻患者术后一周内出现坠积性肺炎,应用敏感抗生素2周后治愈。61例患者获随访3个月,58例排尿情况较术前明显改善,有3例患者术后三月左右再次出现尿潴留。结论:应用1470nm半导体激光治疗高危前列腺增生患者具有出血少、创伤小、安全性高等优点,高危BPH患者围手术期力求个性化处理,只要加强围手术期的管理,积极治疗伴随症,手术治疗是安全可行的。
[Abstract]:Objective: to study the clinical effect of 1470nm semiconductor laser in the treatment of high risk benign prostatic hyperplasia (BPH). Methods: the clinical data of 61 high risk BPH patients treated with 1470nm semiconductor laser from July 2015 to February 2017 were retrospectively analyzed. The changes of hemoglobin (Hb) before and after operation, quality of life score (QOL), international prostate symptom score (IPSS), residual urine volume (RU), maximum urinary flow rate (Qmax) were compared. Results: all the operations were successful. The operation time was 10-78 mins, the average time was 42 mins, 61 patients were able to urinate autonomously. The Hb decreased slightly, there was no massive bleeding, TURS and urinary incontinence occurred in 2 patients with general anesthesia within one week after operation. 61 patients were followed-up for 3 months, 58 patients had better urination than before, and 3 patients had urinary retention about 3 months after operation. Conclusion: the application of 1470nm semiconductor laser in the treatment of high risk patients with benign prostatic hyperplasia has the advantages of less bleeding, less trauma and high safety. The perioperative management of high risk BPH patients is to be individualized, so long as the management of perioperative period is strengthened and the patients with prostatic hyperplasia are treated actively. Surgical treatment is safe and feasible.
【学位授予单位】：皖南医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R699.8
[Abstract]:Objective: to study the clinical effect of 1470nm semiconductor laser in the treatment of high risk benign prostatic hyperplasia (BPH). Methods: the clinical data of 61 high risk BPH patients treated with 1470nm semiconductor laser from July 2015 to February 2017 were retrospectively analyzed. The changes of hemoglobin (Hb) before and after operation, quality of life score (QOL), international prostate symptom score (IPSS), residual urine volume (RU), maximum urinary flow rate (Qmax) were compared. Results: all the operations were successful. The operation time was 10-78 mins, the average time was 42 mins, 61 patients were able to urinate autonomously. The Hb decreased slightly, there was no massive bleeding, TURS and urinary incontinence occurred in 2 patients with general anesthesia within one week after operation. 61 patients were followed-up for 3 months, 58 patients had better urination than before, and 3 patients had urinary retention about 3 months after operation. Conclusion: the application of 1470nm semiconductor laser in the treatment of high risk patients with benign prostatic hyperplasia has the advantages of less bleeding, less trauma and high safety. The perioperative management of high risk BPH patients is to be individualized, so long as the management of perioperative period is strengthened and the patients with prostatic hyperplasia are treated actively. Surgical treatment is safe and feasible.
【学位授予单位】：皖南医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R699.8
【参考文献】
相关期刊论文 前10条
1 吴序立;郑培奎;黄伟雄;;双极等离子电切联合经皮膀胱通道钬激光碎石治疗高龄高危前列腺增生合并膀胱结石[J];中国微创外科杂志;2015年04期
2 刘俊峰;谭朝晖;李星智;迟宁;李三祥;;经尿道双极等离子前列腺剜除术治疗80mL以上前列腺增生的疗效分析[J];重庆医学;2015年06期
3 武德能;;单极电切镜经尿道前列腺剜除术治疗前列腺增生临床分析[J];微创医学;2014年02期
4 吴桂强;刘成倍;徐伟;;经尿道汽化电切术和开放性手术治疗重度良性前列腺增生的疗效比较[J];广西医学;2013年12期
5 陈柠;;TUVP和TURP治疗良性前列腺增生的疗效比较[J];微创医学;2013年04期
6 黄芸新;杨玉群;黄文容;朱小婷;韦华清;张海英;;两种不同手术方式治疗前列腺增生症的效果比较[J];微创医学;2013年04期
7 辛海贝;郭和清;周高标;孙斌;潘广新;穆大为;严景民;邢继章;李建业;洪泉;;2μm激光治疗小体积前列腺增生疗效观察[J];现代泌尿外科杂志;2012年05期
8 龚e，
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