980nm半导体激光剥橘式切除术治疗大体积前列腺增生症60例效果分析

The resection of prostate-tangerine technique with 980 nm diode laser in 60 patients of high volum benign prostatic hyperplasia

目的研究使用980nm半导体红激光剥橘式切除术治疗大体积前列腺增生（BPH）的安全性和疗效。方法应用980nm半导体红激光对60例BPH患者行剥橘式切除术。患者年龄65～89岁，平均前列腺体积为74．5±13ml，观察并记录手术时间、术中出血量，记录并统计分析手术前后国际前列腺症状评分（IPSS）、生活质量评分（QOL）、最大尿流率（Qmax）及剩余尿量（PVR）等指标的变化情况。结果所有患者均由同一术者完成手术并全部成功，手术时间平均70．2±16．9min，术中无明显出血，无输血病例。患者术后留置尿管2～5d，平均留置尿管时间2．4±0.3d。术后1—3月随访IPSS明显低于术前（P=0．000），Qmax及PVR明显好于术前（P=0．000）。结论980nm半导体红激光剥橘式切除术治疗大体积良性前列腺增生症是安全有效的。

Objective To explore the efficacy and safety of the resection of prostate-tangerine technique with 980 nm diode laser benign prostatic chyperplasia （BPH） . Methods Data of 60 patients with high vloum BPH treated with the resection of prostate-tangerine technique with 980 nm diode laser were reviewed. The age of the patients were 65-89 years old, and mean prostate volume was 74. 5_± 13 ml. The mean operative time, blood loss were oberseved and recored, the international prostate symptom score（IPSS） , quality of life score （QOL） , maximum urinary flow rate（Qmax） and residual urine volume （PVR） were collected and analyzed. Results The 60 cases were safe during the perioperative period. The average operation time was （70. 2± 16. 9） min, and there was no obvious bleeding during the operation and no blood transfusion cases. The time of remove the transurethral catheter was 2-5 d,and the mean time was （2.4_±0. 3） d. Follow up 1-3 months after operation,a significant reduction in IPPS was reported （ P = 0. 000） , significant durable improvements in Qmax, PVR before operation（P= 0. 000） . Conclusion Transurethral vaporization of 980 nm diode laser could be a safe and effective treatment modality for BPH.