中国激光, 2009, 36 (10): 2687, 网络出版: 2009-10-23  

光选择性前列腺气化术治疗良性前列腺增生短期疗效评价

Photoselective Vaporization of the Prostate for the Treatment of Benign Prostatic Hyperplasia:Initial Clinical Outcomes
作者单位
上海交通大学 医学院附属仁济医院,上海 200127
摘要
通过对24例良性前列腺增生患者(平均年龄71.00±9.74岁)使用100 W绿激光手术系统行光选择性前列腺气化术(PVP)手术,探讨了PVP治疗良性前列腺增生(BPH)的有效性及安全性。对前列腺体积、手术用时、术中出血、术后留置导尿时间及住院天数进行观察,并对手术前后残余尿(PVR)、最大尿流率(Qmax)及国际前列腺症状(I-PSS)评分进行比较。结果表明,PVP治疗良性前列腺增生安全、有效,具有术中出血少、留置导尿时间短、住院时间短等特点,并可适用于高龄、高危、抗凝治疗的患者,其长期疗效需长时间随访。
Abstract
To evaluate the efficacy and safety of photoselective vaporization of the prostate (PVP) for the treatment of benign prostatic hyperplasia (BPH),total 24 patients (mean age of 71.00±9.74 years) with BPH underwent PVP in our hospital by using Realton 100 W surgical green laser system. Prostate size,operation time,blood loss during operation,catheterization time and hospital stay were recorded. International prostate symptom score (I-PSS),maximum flow rate (Qmax),post void residual urine (PVR) were compared to the baseline. The results show that PVP is a safe and effective treatment for BPH,especially suitable for aged,high-risk or anticoagulant therapy patients. PVP has less bleeding during operation,shorter catheterization time and hospital stay.More follow-ups are needed to evaluate its long-term efficiency.

孙杰, 李东, 薛蔚, 周立新, 黄翼然. 光选择性前列腺气化术治疗良性前列腺增生短期疗效评价[J]. 中国激光, 2009, 36(10): 2687. Sun Jie, Li Dong, Xue Wei, Zhou Lixin, Huang Yiran. Photoselective Vaporization of the Prostate for the Treatment of Benign Prostatic Hyperplasia:Initial Clinical Outcomes[J]. Chinese Journal of Lasers, 2009, 36(10): 2687.

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