[1]孙颖浩,侯建国,许传亮,等.铥激光前列腺切除术治疗良性前列腺增生(附32例报告)[J].中国微创外科杂志,2007,07(8):740-742.
　Sun Yinghao,Hou Jianguo,Xu Chuanliang,et al.Thulium laser resection of prostate in the treatment of benign prostate hyperplasia: A report of 32 cases[J].Chinese Journal of Minimally Invasive Surgery,2007,07(8):740-742.
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铥激光前列腺切除术治疗良性前列腺增生(附32例报告)()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
07
期数:
2007年8期
页码:
740-742
栏目:
出版日期:
2007-08-20

文章信息/Info

Title:
Thulium laser resection of prostate in the treatment of benign prostate hyperplasia: A report of 32 cases
作者:
孙颖浩; 侯建国; 许传亮; 汤昊; 高旭; 高小峰; 张振声; 杨波; 王林辉
上海第二军医大学长海医院泌尿外科，上海200433
Author(s):
Sun Yinghao;  Hou Jianguo;  Xu Chuanliang;  et al.
Department of Urology, Shanghai Changhai Hospital, Shanghai 200433, China
关键词:
激光; 铥; 前列腺增生
Keywords:
Laser; Thulium; Benign prostate hyperplasia
分类号:
R699.8;R454.2
文献标志码:
A
摘要:
目的探讨铥激光前列腺切除术(thulium laser resection of prostate，TmLRP)治疗良性前列腺增生症(benign prostate hyperplasia，BPH)的手术方法并评估其安全性和有效性。 方法应用50 W波长2 μm连续波铥激光对32例BPH行TmLRP。前列腺体积（48.2±21.5）ml，术前IPSS评分（24.4±6.7）分，最大尿流率（7.6±3.4）ml/s。结果手术时间（52.8±20.2）min，术中无明显出血，无手术并发症，术前术后血K+、Na+、Cl-浓度及血红蛋白差异无显著性(P>0.05)。术后导尿管留置时间平均2.5 d（2～4）d。随访时间5～24个月，平均17个月。术后1个月IPSS评分（6.7±2.4）分，最大尿流率（16.3±6.1）ml/s，与术前（24.4±6.7）分、（7.6±3.4）ml/s相比明显改善（t=8.975、7.325，P<0.05）。结论铥激光前列腺切除术是一项简单有效、微创、并发症少的理想手术方法，其效果同TURP术相当，且安全性高。
Abstract:
ObjectiveTo evaluate the safety and efficacy of thulium laser resection of prostate (TmLRP) in the treatment of benign prostate hyperplasia (BPH).MethodsThirtytwo patients with BPH were treated with TmLRP using 50 W and 2 μm thulium laser. Before the operation, the prostate volume was 48.2±21.5 ml, the international prostate symptom score (IPSS) was 244±6.7, and the maximum urinary flow, 7.6±3.4 ml/s.ResultsThe operating time was 52.8±20.2 min. No obvious hemorrhage was seen during the operation. No surgical complication was observed. There were no significant differences in values of serum sodium, potassium, chlorine, and hemoglobin before and after operation (P>0.05). The urethral catheter was indwelled for a mean of 2.5 days (2-4 days). Followup examinations were conducted for 5-24 months (mean, 17 months). At the first postoperative month, the IPSS and maximum urinary flow were 6.7±2.4 and 16.3±6.1 ml/s, respectively, both of which were significantly improved as compared with preoperative values (t=8.975 and 7.325, P<0.05).ConclusionsTmLRP is a safe and efficient procedure for the treatment of BPH.

参考文献/References:

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[3]Barber NJ，Muir GH．Highpower KTP laser prostatectomy：the new challenge to transurethral resection of the prostate．Curr Opin Urol,2004,14:21-25．
[4]Malek RS,Barrett DM，Kuntzmann RS．High power potassiumtitanylphosphate(KTP/532) laser vaporization prostatectomy：24 hours later．Urology，1998，51:254-256．
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更新日期/Last Update: 2013-12-09