120W半导体激光治疗前列腺增生的疗效分析-欢迎访问中华老年多.DOC

·临床研究· 120W半导体激光治疗前列腺增生的疗效分析 冯照晗，刘乃波*，王建峰，王一飞，丁振山，徐 鑫，周晓峰，王 翔 （中日友好医院泌尿外科，北京 100029） 【摘 要】目的 探讨应用120W半导体激光治疗前列腺增生的疗效和安全性。方法 选择年龄＞51岁、膀胱出口梗阻症状明显的57例良性前列腺增生（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±19.6min。术前IPSS15～32分，平均（24.7±4.4），术后下降到3.5±1.2；术前Qmax0～12（6.7±3.4）ml/s，术后提高到（24.1±4.9）ml/s；术前PVR（77.2±45.68）ml，术后下降到（5.1±7.7）ml。差异有统计学意义。无死亡、无输血、无尿失禁、无二次手术病例。结论 120W半导体激光治疗前列腺增生是安全有效，但费用较高。 【关键词】激光器，半导体；前列腺增生 【中图分类号】 R318.51; R697.32 【文献标识码】 A 【DOI】 10.11915/j.issn.1671-5403.2015.xx.xxx Clinical efficiency of 120W diode laser vaporization for benign prostate hyperplasia: report of 57 cases FENG Zhao-Han, LIU Nai-Bo*, WANG Jian-Feng, WANG Yi-Fei, DING Zhen-Shan, XU Xin, ZHOU Xiao-Feng, WANG Xiang (Department of Urology, China-Japan Friendship Hospital, Beijing 100029, China) 【Abstract】 Objective To determine the clinical efficiency and safety of 120W diode laser vaporization in the treatment of benign prostatic hyperplasia (BPH). Methods A total of 57 patients (aging at 51 to 89, mean 71.7?.1) with obvious obladder outlet obstruction and diagnosed as BPH were included in the study. They were treated with the HPD Laser (120W/980nm Ceralas D120, Germany) in our department. Their operation time, and 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?9.6 miny. Their IPSS was decreased from 24.7?.4 (15 to 32) before surgery to 3.5?.2 (2 to 6) after. Their Qmax was increased from 6.7?.4 ml/s (0 to 12 ml/s) before surgery to 24.0?.9 ml/s (17.8 to 31.2 ml/s) postoperatively, and PVR was reduced from 77.2?5.68 t患者手术均o5.1?.7 ml. Significant differences were seen in above indexes. No death, blood transfusion, urinary incontinence or secondary operation was observed in the co