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目的:探讨选择性绿激光汽化术(PVP)治疗前列腺体积大于100 ml前列腺增生临床效果及安全性。方法:分析82例前列腺体积大于100 ml患者的PVP结果。结果:前列腺平均体积176(110~340)ml,77例手术顺利完成,5例患者手术分两次进行。排尿困难症状均明显改善,IPSS评分由术前平均27.5分降至8.4分,QOL由4.6分降至2.1分,Qmax由4.9 ml/s上升至19.0 ml/s,RUV由350 ml降至110 ml,均有统计学意义(P<0.01)。结论:PVP治疗体积大于100 ml前列腺增生患者,疗效可靠,安全可行。
Objective: To investigate the clinical efficacy and safety of selective green laser vaporization (PVP) in the treatment of benign prostatic hyperplasia with prostate volume> 100 ml. Methods: The PVP results of 82 patients with a prostate volume greater than 100 ml were analyzed. Results: The average volume of prostate was 176 (110 ~ 340) ml, 77 cases were successfully completed, and 5 cases were operated in two times. Dyspnea symptoms were significantly improved, IPSS score from an average of 27.5 points preoperative down to 8.4 points, QOL from 4.6 points to 2.1 points, Qmax increased from 4.9 ml / s to 19.0 ml / s, RUV from 350 ml to 110 ml , All with statistical significance (P <0.01). Conclusion: PVP treatment volume greater than 100 ml BPH patients, reliable, safe and feasible.