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目的:探讨绿激光联合TURP治疗高危前列腺增生症患者的有效性和安全性。方法:采用绿激光联合TURP治疗高危前列腺增生患者67例,并对手术前后相关指标进行比较观察。结果:67例患者均安全顺利完成手术治疗并顺利度过手术期,手术时间平均46.5±21.5分钟,术后3天拔除尿管8例,7天拔除尿管55例,4例因术前尿潴留膀胱容量过大,术后留置尿管4周,拔除尿管后,病人排尿困难症状明显好转。术后随访12~18个月,IPSS症状评分平均由术前28.5±2.2下降至术后6.3±0.7分,最大尿流率平均由术前5.7±0.5升至术后18.2±1.8mL/s,生活质量评分(QOL)由术前平均5.1±0.6分下降至术后1.3±0.7分,膀胱残余尿量平均由术前190.4±65.2ml下降至术后19.5±2.5ml。手术前后比较差异均有统计学意义(P<0.05)。结论:绿激光联合TURP治疗高危前列腺增生症安全性高、疗效可靠。
Objective: To investigate the efficacy and safety of green laser combined with TURP in the treatment of high-risk benign prostatic hyperplasia. Methods: 67 cases of high-risk benign prostatic hyperplasia were treated with green laser combined with TURP, and the related indexes before and after operation were compared. Results: All the 67 patients were safely and successfully completed the surgical treatment and successfully passed the operation. The average operation time was 46.5 ± 21.5 minutes. In the three days after operation, the catheter was removed in 8 cases, the catheter was removed in 7 days and the catheter was removed in 55 cases. Remaining bladder capacity is too large, after 4 weeks of catheter indwelling, removal of the catheter, the patient dysuria symptoms improved significantly. Postoperative 12 to 18 months follow-up, IPSS symptom scores decreased from preoperative 28.5 ± 2.2 to postoperative 6.3 ± 0.7 points, the maximum flow rate increased from preoperative 5.7 ± 0.5 to 18.2 ± 1.8mL / s, The quality of life (QOL) decreased from 5.1 ± 0.6 points to 1.3 ± 0.7 points preoperatively, while the residual urine volume decreased from 190.4 ± 65.2ml to 19.5 ± 2.5ml. The differences between before and after surgery were statistically significant (P <0.05). Conclusion: Green laser combined with TURP in the treatment of high-risk benign prostatic hyperplasia is safe and reliable.