选择性绿激光治疗良性前列腺增生症患者

龙源期刊网 http://www.qikan.com.cn

选择性绿激光治疗良性前列腺增生症患者

作者：王进恩 马春清 祝存海

来源：《中国医药导报》2012年第10期

[摘要] 目的 探讨应用选择性绿激光汽化术（PVP）治疗良性前列腺增生症（BPH）患者的临床疗效。 方法 应用PVP治疗56例BPH患者，观察其治疗效果。 结果 56例手术均成功，术中、术后均无输血，平均手术时间为（60.4±6.6）min。平均留置尿管时间为（3.2±1.5）d，术后3个月国际前列腺症状评分（IPSS）评分、最大尿流率（Qmax）及前列腺体积改变均有统计学意义（P ＜ 0.05）。 结论 PVP治疗BPH手术是一种安全可靠、出血少、并发症少、疗效确切的方法。

[关键词] 绿激光；良性前列腺增生症

[中图分类号] R697+.3 [文献标识码] C [文章编号] 1673-7210（2012）04（a）-0188-02

Green light photo selective vaporization of the prostate for the treatment of benign prostatic hyperplasia

WANG Jin′en MA Chunqing ZHU Cunhai

Department of Urology, Xiaogan Central Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Hubei Province, Xiaogan 432100, China [Abstract] Objective To evaluate the efficacy of greenlight photoselective vaporization of the prostate (PVP) for the treatment of benign prostatic hyperplasia. Methods Application of PVP treatment of 56 patients with BPH, the treatment effect were observed. Results The PVP was successfully performed on all the 56 patients, none of them received blood transfusion and TUR syndrome. The operative time was (60.4±6.6) min and the postoperative urinary catheter time was (3.2±1.5) d. A significant improvement was observed in Qmax, IPSS values and prostate volume at 3 month (P ＜ 0.01). Conclusion The PVP is safe and efficacious for BPH patients ,with advantages of less blood loss, better tolerance and few complications. [Key words] Green light; Benign prostatic hyperplasia

前列腺增生症（benign prostate hyperplasia，BPH）是困扰老年男性的常见病，目前外科主要是以经尿道前列腺电切术（TURP）为外科的治疗方法。经尿道选择性绿激光前列腺汽化术