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采用Nd:YAG激光经尿道治疗前列腺增生症,国内外都已广泛开展。其方法可分“接触式”、“90°照射”或“组织间照射”几种,本文系最简便的“裸光纤照射”。由于本法治疗主要是解决排尿梗阻问题,术者通常只消除前列腺内凸堵塞后尿道的部分增生组织,并不追求将病变组织全部消除。因此在采用本法治疗前的诊断应十分明确,特别注意防止将前列腺癌患者或前列腺增生症伴发前列腺癌的患者误为前列腺增生症进行激光治疗而延误或恶化病情。
The use of Nd: YAG laser transurethral treatment of benign prostatic hyperplasia, both at home and abroad have been widely carried out. The method can be divided into “contact”, “90 ° exposure” or “interstitial irradiation” several, this article is the most simple “bare fiber exposure.” As the treatment of this method is mainly to solve the problem of micturition obstruction, the surgeon usually only eliminate the prostatic obstruction of the urethra after partial hyperplasia of tissue, not the pursuit of the lesions all eliminated. Therefore, the treatment before the diagnosis should be very clear, with special attention to prevent prostate cancer patients or patients with benign prostatic hyperplasia associated with prostate cancer mistaken for benign prostatic hyperplasia laser treatment delay or worsen the condition.