【摘要】 目的：分析180W经尿道选择性绿激光前列腺汽化术（PVP）治疗良性前列腺增生(BPH)的疗效和安全性。方法：回顾性收集2018年6月至2020年12月四川大学华西医院泌尿外科诊断为BPH并行180 W PVP的433例患者资料，包括术前基本情况、住院期间指标、并发症和术后随访结果等。结果：共纳入433例患者，年龄为（69.6±8.7）岁，前列腺体积为（68.8±28.5）ml，手术时间为（53.2±23.8）min，膀胱冲洗时间为（17.3±3.2）h，留置导尿管时间为（23.3±6.8）h，术后住院时间（1.6±1.0）d，拔除导尿管后的尿潴留发生率为5.3%，逆行射精和尿道狭窄的发生率为0.9%和0.9%，无患者出现输血、非计划再次手术或死亡。相比术前患者术后IPSS[(9.5±3.7)分，（7.0±3.3）分，（6.9±2.3）分，（7.1±2.5）分]和QOL [(2.9±0.7)分，（1.8±0.9）分，（1.8±0.9）分，（1.8±0.6）分]评分均明显改善。结论：PVP治疗BPH安全有效，术期出血较少，恢复更快，围术期并发症较少。更多还原

【Abstract】 Objective:To evaluate the clinical efficacy and safety of 180W greenlight laser photoselective vaporization of the prostate(PVP)in the treatment of benign prostatic hyperplasia(BPH). Methods:A retrospective analysis was performed on the patients who underwent 180 W greenlight laser PVP between June 2018 and December2020. The patients’ data including preoperative data,indicators during hospitalization,postoperative complications and follow-up information were collected. Results:A total of 433 patients were included with a age of(69.6±8.7)years. Preoperative prostate volume was(68.8±28.5)ml. The operation time was(53.2±23.8)min. The mean bladder irrigation time was(17.3±3.2)h and mean catheterization time was(23.3±6.8)h. With a mean postoperative hospital stay of(1.6±1.0)days,the rate of postoperative urinary retention,retrograde ejaculation and urethral stricture was 5.3%,0.9% and 0.9%,respectively. No patient had blood transfusion,unplanned reoperation or death.The International Prostate Symptom Score(IPSS)of patients decreased significantly from(21.1±3.3)at baseline to(9.5±3.7)at 1month,(77.0±3.3)at 3 months,(6.9±2.3)at 6 months and(7.1±2.5)at 12 months. Meanwhile,the quality of life(QOL)score was also significantly reduced from(4.9±0.6)at baseline to(2.9±0.7)at 1 month,(1.8±0.9)at 3 months,(1.8±0.9)at 6 months and(1.8±0.6)at 12 months. Conclusion:180W green laser PVP for the treatments of BPH is safe and effective with the advantages of less bleeding,quicker postoperative recovery and fewer complications.更多还原