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目的探讨绿激光汽化对良性前列腺增生的临床效果。方法选取本院从2013年2月~2013年8月所收治的50例良性前列腺增生患者作为临床研究对象。应用美国登峰120绿激光系统行PVP术进行治疗,观察患者平均手术时间,术中出血量,术后尿管留置时间和排尿情况,手术后尿流率、QOL、IPSS和对性功能的影响,以综合判断治疗效果。结果所有患者均顺利完成手术,手术时间25~190 min,平均(42.3±21.6)min;术后共41例患者留置尿管,留置时间24~78 h,平均(34.1±19.6)h;并发症:1例患者出现短时间排尿困难,无其他严重并发症发生。在术后随访3~6个月,发现平均最大尿流率、QOL和IPSS均有改善,QOL和IPSS得分均下降,而平均最大尿流率则显著上升,差异有统计学意义(P<0.05)。结论 PVP术对良性前列腺增生的疗效显著,操作简单、出血量少,并发症少,因此值得在今后临床工作当中推广应用。
Objective To investigate the clinical effect of green laser vaporization on benign prostatic hyperplasia. Methods Fifty patients with benign prostatic hyperplasia who were treated in our hospital from February 2013 to August 2013 were selected as the clinical study subjects. The application of Dengfeng 120 green laser system in the United States underwent PVP surgery. The mean operative time, intraoperative blood loss, postoperative urinary retention time and urination, postoperative urinary flow rate, QOL, IPSS and sexual function were observed , To determine the comprehensive treatment effect. Results All patients underwent surgery successfully. The operation time ranged from 25 to 190 minutes (mean, 42.3 ± 21.6) min. After operation, 41 patients underwent indwelling catheter placement for 24-78 h (mean, 34.1 ± 19.6) h. Complications : One patient had short-term dysuria without other serious complications. After 3 to 6 months of follow-up, the mean maximal uroflow rate, QOL and IPSS were all improved, QOL and IPSS scores decreased, while the mean maximal uroflow rate increased significantly (P <0.05 ). Conclusions PVP has a significant effect on benign prostatic hyperplasia, simple operation, less blood loss and less complications, so it is worth popularizing and applying in the future clinical work.