高功率绿激光治疗前列腺增生手术技术改进效果评价:高功率绿激光治疗前列腺增生手术技术改进效果评价
Modified techniques and clinical results of high power green laser in treatment of benign prostatic hyperplasia
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作 者:葛永超 冯金顺 段堃 陈世林 张力 秦奋 常保东 袁志浩
GE Yong - chao,FENG Jin - shun, DUAN Kun, CHEN Shi - lin,ZAHNG Li, QIN Fen, CHANG Bao -Dong, YUAN Zhi- hao(Department of Urology, The Third People's Hospital of Zhengzhou, The First Charity Hospital of Henan Province, Zhengzhou 450000, Chian)
机构地区:郑州市第三人民医院河南省第一慈善医院泌尿外科,郑州450000
出 处:《医药论坛杂志》 2015年第36卷第1期 6-7页,11页,共3页
Journal of Medical Forum
基 金:河南省医学科技攻关项目(201404021);郑州市创新型科技人才队伍建设工程资助项目(No.10CXTD144)
摘 要:目的 探讨高功率绿激光手术技术改进治疗良性前列腺增生(BPH)的安全性和临床疗效。方法 本组30例BPH患者,年龄60-83岁,平均(71.8±6.9)岁。前列腺大小40-106g,平均(71.7±16.2)g。术中采用侧射式高功率绿激光将前列腺分叶剜除,将剜除的前列腺分条块状切碎,应用冲洗器将条块状组织吸出。结果手术均获成功。平均手术时间(59.0±16.1)min、术中出血量(36.3±18.5)ml、术后带尿管时间(35.1±20.6)h。IPSS、Qmax、PVR与术前比较差异均有统计学意义(P〈0.01)。结论 绿激光选择性前列腺汽化术中前列腺腔内分叶状剜除并条块状切除组织技术安全可靠、效果满意。
Objective To investigate the safety and clinical efficacy of high power green laser in the treatment of benign prostatic hyperplasia(BPH). Methods Thirty cases of BPH patients accepted the lateral jet type high power green laser enucleation of prostate leaf drawing block chopped. The time of operation, bleeding volume, hemoglobin(Hb) before and after surgery, indwelling catheter time, perioperative complications, changes of IPSS, Qmax and PVR 1 month after operation were assessed. Results All the operations were successfully. The average operative time was (59 ± 16. 1 ) min, amount of bleeding during operation was ( 36. 3 ± 18.5 ) ml, catheter time was ( 35.1 ± 20. 6 ) h. IPSS. Qmax and PVR compared with preoperative were statistically better with statistic significant ( P 〈 0. 01 ). Conclusion High power green laser enucleation of prostate leaf drawing block chopped technology is safe and reliable, the effect is satisfied.
关键词:激光 前列腺增生 分叶剜除术 选择性汽化术
Laser ; Benign prostatic hyperplasia ;Transurethral resection of prosatate ;