经尿道高功率绿激光前列腺汽化术治疗高危良性前列腺增生症效果观察

发布时间：2018-11-02 16:16

【摘要】：目的观察经尿道高功率绿激光前列腺汽化术治疗高危良性前列腺增生症(BPH)的临床疗效。方法收集有一种以上重要脏器合并症的老年良性BPH患者160例,采用经尿道高功率绿激光前列腺汽化术治疗。手术前后检测血红蛋白、血钠水平;术后随访6个月,检测术前及术后最大尿流率(Qmax)、残余尿量(PVR),并行国际前列腺症状评分(IPSS)、生活质量评分(QOL)。结果患者手术均顺利完成,术中均未输血、无前列腺包膜穿孔;手术时间(53.31±15.29)min,出血量(29.13±7.25)m L,住院时间(5.6±3.3)d;术后常规持续膀胱冲洗24 h,尿管均在72 h内拔除;术后无继发性出血、尿失禁病例,3例尿道狭窄者在膀胱镜直视下行尿道扩张后好转。手术前后血红蛋白、血钠水平比较均无统计学差异(P均0.05);与术前比较,患者术后第6个月Qmax、QOL增加而PVR、IPSS降低(P均0.05)。结论经尿道高功率绿激光前列腺汽化术治疗高危良性BPH,出血少、手术时间短、术后并发症少,疗效较好。
[Abstract]:Objective to observe the clinical effect of transurethral high-power green laser vaporization of prostate in the treatment of high-risk benign prostatic hyperplasia (BPH). Methods 160 elderly patients with benign BPH with more than one important organ complication were treated with transurethral high power green laser vaporization. Hemoglobin and blood sodium levels were measured before and after operation, followed up for 6 months after operation, (Qmax), residual urine volume was measured before and after operation, (IPSS), quality of life score (QOL).) was added to international prostatic symptom score (IPS). Results all the patients were successfully operated without blood transfusion and no perforation of prostate capsule, and the operative time was (53.31 卤15.29) min, bleeding volume (29.13 卤7.25) m L,) hospitalization time (5.6 卤3.3) days. The urethral catheter was removed within 72 hours after 24 hours of continuous bladder irrigation, and there was no secondary bleeding, urinary incontinence and urethral stricture in 3 patients with urethral dilatation after cystoscopy. There was no significant difference in the levels of hemoglobin and blood sodium before and after operation (P 0.05), and the Qmax,QOL increased and the PVR,IPSS decreased at the 6th month after operation (P 0.05). Conclusion transurethral high power green laser vaporization of prostate is effective in the treatment of high risk benign BPH, with less bleeding, shorter operative time and less postoperative complications.
【作者单位】：山东大学齐鲁医院;武警山东省总队医院;
【分类号】：R699.8

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