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目的:评估120 W绿激光经尿道前列腺“倒八字法”切除术治疗良性前列腺增生(BPH)的安全性及疗效。方法:通过随访实施经尿道绿激光“倒八字法”切除术的63例患者,对平均手术时间、术后膀胱冲洗时间、术后留置导尿管时间、手术并发症、创面愈合时间等指标进行分析,对国际前列腺症状评分(IPSS)、生活质量评分(QOL)、剩余尿量及尿流率改变等指标进行手术前后对比。结果:平均手术时间(45.7±5.9)min,术后膀胱冲洗时间(10.0±1.2)h,术后留置导尿管时间(2.0±0.5)d,创面均于3个月内完全愈合,无严重并发症发生。IPSS及QOL评分术前平均为(26.0±1.9)及(6.0±0.6)分,于术后3个月分别下降至(9.6±1.6)及(2.7±0.5)分,最大尿流率术前为(6.9±1.7)ml/s,于术后3个月增加至(16.8±4.4)ml/s,剩余尿量术前为(163.7±19.9)ml,于术后3个月下降至(20.1±9.6)ml,手术前后比较差异均有统计学意义(P<0.05)。结论:经尿道前列腺绿激光“倒八字法”汽化切除术与选择性绿激光汽化术(PVP)相比具有效率高、可留取标本、手术时间短等优点,是治疗BPH(尤其对于大体积前列腺)的一种安全有效的微创手术。
Objective: To evaluate the safety and efficacy of 120 W green laser transurethral resection of benign prostatic hyperplasia (BPH). Methods: Sixty-three patients who underwent transurethral urethral laser transurethral resection of the bowel were included in the study. The mean operative time, postoperative bladder irrigation time, postoperative catheterization time, operative complications, wound healing time Indicators were analyzed before and after the operation of the International Prostate Symptom Score (IPSS), quality of life score (QOL), remaining urine output and changes in urinary flow rate and other indicators. Results: The average operative time was 45.7 ± 5.9 min, the postoperative bladder irrigation time was 10.0 ± 1.2 h and the postoperative catheterization time was 2.0 ± 0.5 d. The wounds healed completely within 3 months without serious Complications occur. The mean preoperative IPSS and QOL scores were (26.0 ± 1.9) and (6.0 ± 0.6) points, respectively, and decreased to (9.6 ± 1.6) and (2.7 ± 0.5) points at 3 months postoperatively respectively. The maximum flow rate was (6.9 ± 1.7) ml / s and increased to (16.8 ± 4.4) ml / s at 3 months after operation. The residual urine volume was (163.7 ± 19.9) ml preoperatively and decreased to (20.1 ± 9.6) ml, the differences were statistically significant before and after surgery (P <0.05). Conclusion: The transurethral prostate green laser “vocalization ” vaporization resection is more effective than selective green laser vaporization (PVP), which has the advantages of high efficiency, can take samples, short operation time, etc., is the treatment of BPH Large volume prostate) is a safe and effective minimally invasive surgery.