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目的:探讨选择性绿激光前列腺汽化术治疗高龄前列腺增生患者的临床疗效及安全性。方法:应用120W高功率绿激光选择性前列腺汽化术治疗高龄前列腺增生患者33例,观察手术前后国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)的变化,记录手术时间、手术前后患者血红蛋白及血清钠、术后留置导尿管时间以及手术后并发症的情况。结果:本组33例患者均顺利完成手术,平均手术时间(48.6±15.8)min,术后留置导尿管时间(71.1±6.0)h,术后IPSS、QOL、Qmax较术前均明显改善,所有患者术前术后血红蛋白和血清钠稳定,均未出现电切综合征,无输血、死亡病例。结论:PVP治疗高龄前列腺增生患者手术安全性好、术中出血少、术后恢复快,近期疗效满意。
Objective: To investigate the clinical efficacy and safety of selective green laser prostatic vaporization in the treatment of elderly patients with benign prostatic hyperplasia. Methods: Thirty-three patients with BPH were treated with 120W high-power green laser selective prostate vaporization. The changes of IPSS, QOL and Qmax before and after surgery were recorded and recorded. Operation time, hemoglobin and serum sodium in patients before and after surgery, postoperative indwelling catheter time and postoperative complications. Results: All the 33 patients completed the operation successfully. The average operation time was 48.6 ± 15.8 min and the duration of indwelling catheter was 71.1 ± 6.0 h. The postoperative IPSS, QOL and Qmax were significantly improved, All patients before and after surgery hemoglobin and serum sodium were stable, no power-cut syndrome, no blood transfusion, deaths. Conclusion: PVP in elderly patients with benign prostatic hyperplasia surgery safety, less bleeding, postoperative recovery, the recent satisfactory results.