论文部分内容阅读
目的:总结“五分法”2μm激光汽化切除术治疗BPH的临床经验。方法:回顾性分析采用“五分法”2μm激光汽化切除术治疗BPH患者192例的临床资料。结果:所有患者手术均取得成功,手术时间为(88.43±24.51)min,术中出血量为(29.57±14.15)ml,术后冲洗时间为(4.15±2.44)h,拔除尿管时间为术后7天,术后出现继发性出血4例,出现暂时性尿失禁12例。术后随访3~12个月,无尿道狭窄等并发症发生。术后第3个月患者国际前列腺评分由术前(27.35±2.61)分降至术后(13.84±3.93)分(P<0.05),生活质量评分由术前(4.93±0.96)分降至术后(1.86±1.11)分(P<0.05),最大尿流率由术前(4.82±2.71)ml/s升至术后(16.84±3.37)ml/s(P<0.05),膀胱残余尿量由术前(91.38±42.48)ml降至术后(24.12±16.69)ml(P<0.05)。结论:“五分法”2μm激光汽化切除术是治疗BPH一种安全、有效的方法。
Objective: To summarize the clinical experience of “five points method” 2μm laser vaporization resection for the treatment of BPH. Methods: The clinical data of 192 patients with BPH treated with “five points” 2μm laser vaporization excision were retrospectively analyzed. Results: The operation was successful in all patients. The operation time was (88.43 ± 24.51) min, the intraoperative blood loss was (29.57 ± 14.15) ml and the postoperative flushing time was (4.15 ± 2.44) h. The time of removing the catheter was 7 days, 4 cases of secondary bleeding after surgery, 12 cases of temporary urinary incontinence. Postoperative follow-up of 3 to 12 months, no urethral stricture and other complications. The international prostate score decreased from preoperative (27.35 ± 2.61) to postoperative (13.84 ± 3.93) points (P <0.05) at the third month after operation, and the quality of life score decreased from preoperative (4.93 ± 0.96) to postoperative (1.86 ± 1.11) points (P0.05). The maximum urinary flow rate increased from 4.82 ± 2.71 ml / s to 16.84 ± 3.37 ml / s preoperatively (P <0.05). The residual urine volume From preoperative (91.38 ± 42.48) ml to postoperative (24.12 ± 16.69) ml (P <0.05). Conclusion: “Five points method” 2μm laser vaporization resection is a safe and effective method for the treatment of BPH.