摩西技术120 W钬激光“三线一面”法在高风险良性前列腺增生合并膀胱结石治疗中的体会

Clinical medical study of Moses technology-120 W Holmium Laser treated in“Three lines and One layer”method for elderly patients with combined BPH and Bladder Stones

目的探讨摩西技术120 W钬激光"三线一面"法治疗高风险良性前列腺增生合并膀胱结石病人的安全性和有效性。方法2018年6月~2019年8月采用摩西技术120 W钬激光治疗高风险良性前列腺增生合并膀胱结石病人35例,回顾性分析其临床资料。结果35例病人均成功完成手术,平均手术时间(54.34±9.88)分钟,手术后血红蛋白下降值平均(5.80±4.04)g/L,术中、术后均未发生大出血、真性尿失禁等并发症。术后3个月随访,术前、术后国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)等均明显改善。复查彩超,未见膀胱结石复发。结论摩西技术120 W钬激光"三线一面"法治疗高风险老年良性前列腺增生合并膀胱结石,手术设备简化,操作简单,手术及麻醉时间短,可充分发挥摩西激光碎石和大功率钬激光前列腺剜除的优点,手术效果显著。

Objective To evaluate the safety and feasibility of Moses technology-120-W holmium laser treated in"Three lines and one layer"method for elderly patients with combined benign prostate hyperplasia(BPH)and bladder stones.Methods The Moses technology-120 W holmium laser treated in"Three lines and one layer"method for 35 elderly patients who had combined BPH and bladder stones during Jun.2018 to Aug.2019.Results All 35 patients were able to smoothly recover from the operation with no major bleeding,urinary incontinence or other side effects.The average operation time was(54.34±9.88)min,and the average reduction of hemoglobin before and after operation was(5.80±4.04)g/L.Medical measurement follow up after operation within 3 months,like IPSS,QOL and Qmax were noticeably improved and no sign of new growth of bladder stones.Conclusion The Moses technology-120 Wholmium laser treated in"Three lines and one layer"method which is more efficient laser lithotripsy for elderly patients combined with BPH and bladder stones.In addition to significantly reduced stone retropulsion,and displayed a margin of safety that may result in a shorter procedural time and safer lithotripsy.