【摘要】 目的 探讨应用120W半导体激光治疗良性前列腺增生(BPH)的疗效和安全性。方法 选择年龄>51岁、膀胱出口梗阻症状明显的57例BPH患者,应用120W半导体激光治疗。统计分析前列腺体积、手术时间及术前术后国际前列腺症状评分(IPSS)、最大尿流率(Qmax)及残余尿(PVR)的变化。结果 所有患者手术均获得成功,手术时间为(52.6±19.6)min。术前IPSS 15~32(24.7±4.4)分,术后下降到2~6(3.5±1.2)分;术前Qmax 0~12(6.7±3.4)ml/s,术后提高到(24.1±4.9)ml/s;术前PVR(77.2±45.7)ml,术后下降到(5.1±7.7)ml,差异有统计学意义。无死亡、输血、尿失禁、二次手术等病例。结论 120W半导体激光治疗BPH安全有效,但费用较高。更多还原

【Abstract】 Objective To determine the clinical efficiency and safety of 120 W diode laser vaporization in the treatment of benign prostatic hyperplasia(BPH).Methods Atotal of 57 patients[aged 50 to 89(71.7 ± 7.1) years]with obvious bladder outlet obstruction and diagnosed as BPH were included in the study.They were treated with the HPD Laser(120W/980 nm Ceralas D120,Germany) in our department.Their operation time,the prostate volume,International Prostate Symptom Score(IPSS),maximum flow rate(Qmax) and post-void residual urine(PVR) before and after operation were measured and compared.Results The surgery was successfully performed to all of the patients within a duration of(52.6 ± 19.6) min.Their IPSS was decreased from 24.7 ±4.4(15 to 32) before surgery to 3.5 ± 1.2(2 to 6) after surgery surgery.Their Qmax was increased from(6.7 ± 3.4) ml/s(0 to 12ml/s) before surgery to(24.0 ± 4.9)ml/s(17.8 to31.2ml/s) postoperatively,and PVR was reduced from(77.2 ±45.7) to(5.1 ±7.7) ml.Significant differences were seen in above indexes.No death,blood transfusion,urinary incontinence or secondary operation was observed in the cohort.Conclusion Diode laser of 980 nm with output power up to 120 W is safe and effective in prostate vaporization for BPH,but quite expensive.更多还原