论文部分内容阅读
目的:探讨2μm激光“刀削面”式切除术治疗BPH的疗效。方法:对210例BPH患者由同一术者应用70 W RevoLix~(?)激光系统进行手术治疗。结果:手术时间35～140 min,平均(62±19)min。术中输血6例,平均输血250 ml。术后留置导尿管1～6天,平均(2.5±1.8)天。住院时间为4～7天,平均(4.5±1.2)天。3例于术后出现尿道狭窄,行间断扩张尿道后,排尿症状改善。术后随访3～6个月,术前与术后6个月平均最大尿流率分别为(6.8±2.5)ml/s、(18.5±3.6)ml/s;剩余尿分别为(149.4±70.2)ml/s、(23±6.8)ml/s;IPSS分别为(22.4±5.5)、(5.3±3.2);QOL分别为(4.8±0.8)、(1.6±1.1),四项指标手术前后比较差异均有统计学意义(P<0.01)。结论:2μm激光“刀削面”式汽化切除术简便易行,切除效率高,是一种安全、有效的手术方法。
Objective: To investigate the therapeutic effect of 2μm laser “slicing face ” resection on BPH. METHODS: 210 BPH patients underwent surgery with a 70 W RevoLix ~ (?) Laser system by the same surgeon. Results: The operative time ranged from 35 to 140 min (mean, 62 ± 19) min. Intraoperative blood transfusion in 6 cases, the average blood transfusion 250 ml. After catheter indwelling 1 to 6 days, an average of (2.5 ± 1.8) days. The length of hospital stay was 4 to 7 days with an average of (4.5 ± 1.2) days. 3 cases of urethral stricture occurred after the line of intermittent expansion of the urethra, micturition symptoms improved. The mean maximal urinary flow rates before and 6 months after operation were (6.8 ± 2.5) ml / s and (18.5 ± 3.6) ml / s, respectively. The residual urine were (149.4 ± 70.2) (23 ± 6.8) ml / s and IPSS were (22.4 ± 5.5) and (5.3 ± 3.2), respectively; QOL was (4.8 ± 0.8) and (1.6 ± 1.1) The differences were statistically significant (P <0.01). Conclusion: 2μm laser “Sliced noodles” vaporization resection is simple and easy to operate and has high excision efficiency. It is a safe and effective surgical method.