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目的:探讨选择性绿激光前列腺汽化术(PVP)治疗良性前列腺增生(BPH)的疗效和并发症。方法:应用PVP治疗BPH患者204例。结果:术后最大尿流率增加,IPSS评分、QOL评分、残余尿量均较术前下降,差异均有统计学意义(P<0.05)。术后出现的并发症有膀胱痉挛、尿路刺激症状、排尿困难、继发性出血、尿失禁、发热等,经治疗好转。结论:此方法操作简单、出血少、痛苦较小,适于高龄、高危患者。但仍有一定并发症,要妥善处理。
Objective: To investigate the efficacy and complications of selective green laser prostatic vaporization (PVP) in the treatment of benign prostatic hyperplasia (BPH). Methods: 204 cases of patients with BPH treated with PVP. Results: The maximum urinary flow rate increased, IPSS score, QOL score and residual urine volume decreased compared with that before operation, the differences were statistically significant (P <0.05). Postoperative complications of bladder spasm, urinary tract irritation, dysuria, secondary bleeding, incontinence, fever, etc., after treatment improved. Conclusion: This method is simple, less bleeding, less painful, suitable for elderly, high-risk patients. But there are still some complications, we must properly handle.