经尿道2微米激光前列腺汽化术治疗高龄高危良性前列腺增生(附39例报告)

Evaluation of two micron continuous wave laser for the treatment of high-risk older patients with benign prostatic hyperplasia (report of 39 cases)

目的探讨经尿道2微米激光前列腺汽化术治疗高龄高危良性前列腺增生(BPH)的治疗效果。方法采用2微米激光治疗高龄高危BPH患者39例,术前评估准备、观察平均手术时间、术后拔管时间,出血量,术前、后国际前列腺症状评分(IPSS)、生活质量评分(QOL)、剩余尿量及尿流率变化等指标。结果 39例患者手术成功,手术前后各项指标均有统汁学意义(P<0.05)。手术安全,疗效满意,无严重并发症。结论 2微米激光汽化术针对治疗高龄高危BPH是安全有效的微创手术。

Objective To explore the efficacy and safety of two micron continuous wave laser in treatment of high- risk older patients with benign prostatic hyperplasia（BPH）. Methods A total of 39 high-risk old patients with BPH were treated with two micron continuous wave laser. The operative time, blood loss, indwelling catheterization time and operative complications were observed. The variables such as IPSS, QOL, uroflowmetry, post-void residual urine volume（RUV） were recorded and calculated before and after operation. Results All 39 patients safely got through perioperative period. The mean operative time, intraoperative blood loss and postoperative indwelling catheterization time was （44.8±35.0）min, （64.1±16.3） ml and （3.6±2.7） d respectively. IPSS and QOL scores decreased from preoperative （27.8±6.5） and （6.3±0.9） to postoperative （7.14±2.6） and （1.4±0.8）, respectively. Qmax increased from （6.2±2.8）ml/s to （ 14.7_＋2.2）m l/s, and RUV decreased from （ 186.0±25.2）ml to（26.6±5.1 ）ml. There were significant differences in above parameters between before operation and after operation（P〈0.05）. Few complications were found and good outcomes of operation was for all treated patients. Couelusion The two micron continuous wave laser might be a safe, efficacious and minimally invasive procedure for treatment of high-risk older patients with BPH.