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目的探讨经尿道2μm激光前列腺汽化切除术治疗良性前列腺增生(benign prostatic hyperplasia,BPH)的疗效和安全性。方法 2011年3月—2012年3月对BPH 110例应用经尿道2μm激光前列腺汽化切除术治疗,观察临床效果及并发症发生情况。结果本组手术均获成功。手术平均时间(66.33±19.66)min,术中平均出血量(67.27±28.91)ml,术后留置尿管时间(5.73±0.81)d,平均住院时间(17.62±4.55)d。IPSS评分和最大尿流率得到改善,且未发生并发症。结论应用经尿道2μm激光前列腺汽化切除术治疗良性BPH具有出血少、围术期安全性高、并发症少等优点,而且操作安全简便,是较为理想的微创性手术治疗方法。
Objective To investigate the efficacy and safety of transurethral vaporization of the prostate by 2 μm laser in the treatment of benign prostatic hyperplasia (BPH). Methods From March 2011 to March 2012, 110 patients with BPH underwent transurethral vaporization of the prostate by 2μm laser to observe the clinical effect and the incidence of complications. Results The surgery was successful. The average operation time was 66.33 ± 19.66 min, the average intraoperative blood loss was 67.27 ± 28.91 ml, the postoperative catheterization time was 5.73 ± 0.81 d, and the average hospitalization time was 17.62 ± 4.55 d. IPSS score and maximum flow rate were improved without complications. Conclusion Transurethral vaporization of transurethral resection of the prostate with 2 μm laser for benign prostatic hyperplasia (BPH) has the advantages of less bleeding, high perioperative safety and less complications. It is safe and easy to operate and is an ideal minimally invasive surgical treatment.