资源描述：
《选择性120W绿激光汽化术治疗高龄高危良性前列腺增生症.doc》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、•老年人前列腺疾病专栏•选择性120W绿激光汽化术治疗高龄高危良性前列腺增生症孙震鹏，黄晨，陈立军：赵立，曲楠，吴世奎(解放军第307医院泌尿外科，北京100071)【摘耍】目的探讨选择性120W绿激光汽化术治疗良性前列腺增生症(BPH)的疗效及安全性。方法2010年5月至2012年12月在解放军第307医院泌尿外科住院的符合高龄髙危BPH诊断标准的患者86例，统计分析应用选择性120W绿激光汽化术治疗高龄高危BPH患者X6例的临床资料。结果86例患者均顺利完成手术。平均手术时间(28.7±9.4)min,术中出血量(14.8土9.0)ml,术中无输血病例。术后平均
2、留置导尿管时间(2.0±0.7)d,平均住院时间(3.2土1.1)do拔除尿管后出现短暂性排尿困难、轻度尿路刺激症状、继发性血尿、短暂性急迫性尿失禁等并发症，均经相应处理后改善。术后1个月、6个月国际前列腺症状评分(IPSS评分)、最大尿流率及残余尿情况与术前相比差异均有统计学意义(PV0.01)。结论此方法手术时间短、出血少、恢复快、安全性高，是治疗高龄高危BPH患者理想的微创治疗方法。【关键词】前列腺增生症；老年人；绿激光汽化术【中图分类号】R697-.32【文献标识码】A[DOI]?Evaluationofphotoselectivevaporizationw
3、ith120Wgreenlightlaserfortreatmentofagedhigh-riskpatientswithbenignprostatichyperplasiaSUNZhen-Peng,HUANGChen,CHENLi-Jun*,ZHAOLi,QYUNan,WUShi-Kui(DepartmentofUrology,No.307thHospitalofPLA,Beijing100071,China)[Abstract]ObjectiveToassesstheefficacyandsafetyofphotoselectivevaporizationoft
4、heprostatewith120Wgreenlightlaserinthetreatmentofbenignprostatichyperplasia(BPH)inagedhigh-riskpatients・MethodsClinicaldataof86high-riskpatientswithameanageof76.5(rangingfrom70to93)whounderwentphotoselectivevaporizationofprostate(120W)forthetreatmentofBPHinourdepartmentfromMay2010toDec
5、ember2012werecollectedandstatisticallyandretrospectivelyanalyzed.ResultsAllsurgeryprocedureswerecompletedsuccessfully.Averageoperativetimewas28.7+9.4min,andintra-operativebloodlosswas14.8±9.0ml,withnooneacceptingbloodtransfusionintra-operatively.Theaveragedurationofpost-operativeindwel
6、lingcatheterwas2.0±0.7d,andmeanhospitalizationtimewas3.2+1.1d.Postoperativecomplicationsincludedtransientdysuria,mildurinarytractirritation,secondaryhematuria,andtransienturgeincontinence.Allthesesymptomswererelievedaftertreatment.ThereweresignificantdifferencesinInternationalProstateS
7、ymptomScore(IPSSscore),maximumflowrate(Qmax)andresidualurinevolume(RUV)in1and6monthsafteroperationcomparedwithpre-operation(P<0.01).ConclusionPhotoselectivevaporizationofprostate(120W)hasadvantagesofshorteroperativetime,lessbloodloss,rapidrecovery,andhighsafety.Itisanidealandminimall
