选择性120w绿激光汽化术治疗高龄高危良性前列腺增生症.docVIP

·老年人前列腺疾病专栏· 选择性120W绿激光汽化术治疗高龄高危良性前列腺增生症 孙震鹏, 黄 晨, 陈立军*, 赵 立, 曲 楠, 吴世奎 （解放军第307医院泌尿外科, 北京 100071） 【摘 要】目的 探讨选择性120W绿激光汽化术治疗良性前列腺增生症（BPH）的疗效及安全性。方法 2010年5月至2012年12月在解放军第307医院泌尿外科住院的符合高龄高危BPH诊断标准的患者86例，统计分析应用选择性120W绿激光汽化术治疗高龄高危BPH患者86例的临床资料。结果 86例患者均顺利完成手术。平均手术时间（28.7±9.4）min，术中出血量（14.8±9.0）ml，术中无输血病例。术后平均留置导尿管时间（2.0±0.7）d，平均住院时间（3.2±1.1）d。拔除尿管后出现短暂性排尿困难、轻度尿路刺激症状、继发性血尿、短暂性急迫性尿失禁等并发症，均经相应处理后改善。术后1个月、6个月国际前列腺症状评分（IPSS评分）、最大尿流率及残余尿情况与术前相比差异均有统计学意义（P＜0.01）。结论 此方法手术时间短、出血少、恢复快、安全性高，是治疗高龄高危BPH患者理想的微创治疗方法。 【关键词】前列腺增生症; 老年人; 绿激光汽化术 【中图分类号】 R697+.32 【文献标识码】 A 【DOI】 ? Evaluation of photoselective vaporization with 120 W green light laser for treatment of aged high-risk patients with benign prostatic hyperplasia SUN Zhen-Peng, HUANG Chen, CHEN Li-Jun*, ZHAO Li, QYU Nan, WU Shi-Kui (Department of Urology, No. 307th Hospital of PLA, Beijing 100071, China) 【Abstract】 Objective To assess the efficacy and safety of photoselective vaporization of the prostate with 120 W green light laser in the treatment of benign prostatic hyperplasia (BPH) in aged high-risk patients. Methods Clinical data of 86 high-risk patients with a mean age of 76.5 (ranging from 70 to 93) who underwent photoselective vaporization of prostate (120W) for the treatment of BPH in our department from May 2010 to December 2012 were collected and statistically and retrospectively analyzed. Results All surgery procedures were completed successfully. Average operative time was 28.7±9.4 min, and intra-operative blood loss was 14.8?9.0 ml, with no one accepting blood transfusion intra-operatively. The average duration of post-operative indwelling catheter was 2.0?0.7 d, and mean hospitalization time was 3.2?1.1 d. Postoperative complications included transient dysuria, mild urinary tract irritation, secondary hematuria, and transient urge incontinence. All these symptoms were relieved after treatment. There were significant differences in International Prostate Symptom Score (IPSS score), maximum