摘要
目的：总结经尿道前列腺电切术联合2μm激光汽化切除术治疗80 ml以上BPH的临床经验。方法：回顾性分析采用经尿道前列腺电切术联合2μm激光汽化切除术治疗80 ml以上BPH 46例的临床效果。结果：所有患者均手术成功,手术时间为86~176（112.0±20.0）min。术中出血50~200（77.9±25.9）ml。术后7 d拔除尿管,出现暂时性尿失禁6例,继发性出血2例。术后随访6个月,所有患者无尿道狭窄等并发症发生。术后第6个月患者国际前列腺症状评分由术前（26.3±1.8）分降至（11.6±1.7）分（P〈0.05）,生活质量评分为由术前（5.3±0.7）分降至术后（1.3±1.1）分（P〈0.05）,最大尿流率由术前（4.1±2.6）ml/s升至术后（16.2±1.7）ml/s（P〈0.05）,残余尿量由术前（115.5±55.6）ml降至术后（19.9±11.6）ml（P〈0.05）。结论：经尿道前列腺电切术联合2μm激光汽化切除术是治疗80 ml以上BPH安全、有效的方法。
Objective： To sum up the clinical experience in the management of benign prostatic hyperplasia （BPH） with the prostate weighing over 80 ml by transurethral resection of the prostate （TURP） combined with 2 μm continuous-wave laser vaporesec- tion （LVR）. Methods： Vie retrospectively analyzed the clinical effects of TURP combined with 2 μm LVR in the treatment of 46 cases of BPH with the prostate volume 〉 80 ml. Results ： All the operations were successfully accomplished. The operation time and intraoperative blood loss were （ 112.0 ± 20.0 ） rain （ range 86 - 176 min） and （77.9 ± 25.9 ） ml （ range 50 - 200 ml）, respectively. The catheters were withdrawn at 7 days after surgery. Transient urinary incontinence occurred in 6 cases and secondary hemorrhage was found in 2 postoperatively. Six-month follow-up revealed no urethral stricture or other complications. Compared with the baseline, the international prostate symptom score （IPSS） was significantly decreased at 6 months after operation （26.3 ±1.8 vs 11.6 ±1.7, P 〈 0.05 ）, and so were the quality of life （QOL） score （ 5.3 ± 0.7 vs 1.3 ±1.1, P 〈 0.05 ） and post-void residual urine （PVR） （ [115.5 ± 55.6 ] ml vs [ 19.9 ± 11.6 ] ml, P 〈 0.05 ）. However, the maximum urinary flow rate （Qmax） was remarkably increased from（4.1±2.6） ml/sto（16.2±1.7） ml/s（P〈0.05）. Conclusion ： TURP combined with 21xm LVR is safe and effective for the treatment of BPH with the prostate volume 〉 80 ml.
出处
《中华男科学杂志》
CAS
CSCD
北大核心
2015年第2期136-139,共4页
National Journal of Andrology
关键词
经尿道前列腺电切术
2μm激光汽化切除术
良性前列腺增生
transurethral resection of the prostate
2-micron continuous-wave laser vaporesection
benign prostatic hyperplasia
作者简介
任晓磊（1985-），男，辽宁建平县人，医师，硕士研究生，从事泌尿外科专业。Email：rxlpla@163．com
通讯作者：夏海波，Email：xhb1937@163．com
