1470nm激光“五分法”汽化切除术治疗BPH 63例

“Five-part method” of 1470nm laser vaporization resection for treatment of benign prostatic hyperplasia 63 cases

目的总结1 470nm激光"五分法"汽化切除术治疗良性前列腺增生(benign prostatic hyperplasia,BPH)临床经验。方法回顾性分析采用1 470nm激光"五分法"汽化切除术治疗的63例BPH患者的临床资料。结果所有患者手术均获得成功,手术时间为(96.24±25.12)min,术中出血量为(25.18±12.48)mL,无前列腺穿孔等并发症的发生。术后7d拔除尿管,无尿潴留发生,发生暂时性尿失禁2例,继发性出血1例。术后随访3个月,无尿道狭窄等并发症发生。术后国际前列腺评分、生活质量评分、膀胱残余尿量较术前显著降低,最大尿流率较术前显著升高,差异均有统计学意义(P<0.05)。结论 1 470nm激光"五分法"汽化切除术是治疗BPH一种安全、有效的方法。

bjective To summary the clinical experience of ＂Five-part method＂ of 1 470 nm laser vaporization resection for treatment of benign prostatic hyperplasia （BPH）. Methods Retrospective analysis was performed in 63 patients with BPH undergoing ＂Five-part method＂of 1 470 nm laser vaporization resection . Results The operations of all the cases were completed successfully. The operation time was （96.24±25.12） min . The blood loss was （25.18± 12.48） mL. During the operation, there was no transurethral resection syndrome or other complication occurred. Seven days after the operation, the catheter was withdrawn, Transient postoperative incontinence occurred in 2 cases and secondary hemorrhage occurred in 1 cases. All patients were followed up for 3 months postoperatively, there was no urethral stricture and other complication occurred. The third month after operations, the international prostate symptom score, the quality of life score and the bladder post void residual were lower than those before the surgery（P〈 0.05）, but the maximum flow rate was higher than that before the surgery（P 〈0. 05）. Conclusion Treatment of ＂Five-part method＂ of 1 470 nm laser vaporization resection for treatment of BPH iS safe and effective .