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目的探讨经尿道2μm激光前列腺切除术治疗良性前列腺增生(BPH)的有效性和安全性。方法采用腰麻、硬腰联合麻醉,应用2μm激光前列腺切除术治疗BPH患者76例,观察术中组织切割、汽化效果、出血情况以及手术时间和术后尿管留置时间、手术前后尿流率、国际前列腺症状评分(IPSS)、生活质量评分(QOL)等情况的变化。结果2μm激光汽化、切割手术时间15～100min,平均45min,术中基本无出血。术后76例留置尿管时间1～5d,平均3d,其中拔除尿管后2例出现短暂排尿困难,无尿失禁等并发症发生;术后随访3～6个月,最大尿流率、IPSS及QOL较术前均有明显改善。结论2μm激光前列腺切除术治疗BPH安全有效,操作简单,时间短,汽化彻底,出血少,尤其适合于高龄、高危患者,并且切割组织可以做病理。
Objective To investigate the efficacy and safety of transurethral 2 μm laser prostatectomy in the treatment of benign prostatic hyperplasia (BPH). Methods A total of 76 patients with BPH were treated with 2μm laser prostatectomy by using spinal anesthesia and scalp anesthesia. Tissue resection, vaporization effect, bleeding and the time of operation and postoperative catheter indwelling time, International Prostate Symptom Score (IPSS), quality of life score (QOL) and other changes. Results 2μm laser vaporization, cutting operation time 15 ~ 100min, an average of 45min, no bleeding during operation. After operation, 76 patients with indwelling catheters were treated for 1-5 days with an average of 3 days. Among them, transient urination and urinary incontinence occurred in 2 cases after the catheter was removed. The maximum urinary flow rate, IPSS And QOL were significantly improved compared with preoperative. Conclusions 2 μm laser prostatectomy is safe and effective in treating BPH. It has simple operation, short time, thorough vaporization and less bleeding. It is especially suitable for elderly patients and high-risk patients. The cutting tissue can be pathologically treated.