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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 summarize the clinical experience of transurethral resection of prostate combined with 2μm laser vaporization for the treatment of BPH more than 80 ml. Methods: Retrospective analysis of transurethral resection of the prostate combined with 2μm laser vaporization of the surgical treatment of more than 80 ml BPH clinical effect. Results: All the patients were operated successfully. The operation time was 86-176 (112.0 ± 20.0) min. Intraoperative bleeding 50 ~ 200 (77.9 ± 25.9) ml. At 7 days after operation, 6 cases of temporary urinary incontinence and 2 cases of secondary bleeding were removed. All cases were followed up for 6 months. No complications such as urethral stricture occurred. The International Prostate Symptom Score decreased from preoperative (26.3 ± 1.8) points to (11.6 ± 1.7) points (P <0.05) at 6th month after operation, and the quality of life score decreased from preoperative (5.3 ± 0.7) points to surgery (1.3 ± 1.1) points (P <0.05), and the maximum urinary flow rate increased from 4.1 ± 2.6 ml / s to 16.2 ± 1.7 ml / s preoperatively (P <0.05) Preoperative (115.5 ± 55.6) ml decreased to (19.9 ± 11.6) ml postoperatively (P <0.05). Conclusion: Transurethral resection of prostate combined with 2μm laser vaporization resection is a safe and effective method for the treatment of BPH above 80 ml.