绿激光汽化术治疗高危重度前列腺增生45例报告.docVIP

绿激光汽化术治疗高危重度前列腺增生45例报告 】:R697+.3 】：A L 1004-597X(2007) 10-0025-03 】目的：提高高危重度前列腺增生症(BPH)的治 疗水平。方法：对45例前列腺B超测重50g伴有泌尿科并 发症和多系统病变BPH患者采用绿激光汽化术治疗。结果： 45例均安全度过围手术期。手术时间40-126min，平均82min。 术中3例出现较明显出血，术后2例出现暂时性尿潴留，4 例暂时尿失禁。术后国际前列腺症状评分(IPSS)、生活质量 评分(Qol)、平均最大尿流率(Qmax)、PVR改善显著。结论： 绿激光汽化术治疗高危重度前列腺增生是一种安全有效、出 血少，恢复快的微创手术，是高危重度患者首选方法。 关键词】激光；前列腺汽化术；高危重度；前列腺增 The green laser vaporization technique treats the high danger specific weight prostate gland proliferation 45 examples reports Shi Zhiqiang① Zhai Qichang② Cheng Hongliang② Abstract】 Objective: Proposes the high danger specific weight prostate gland proliferation sickness (BPH) treatment level. Method： To 45 examples prostate glands B ultra measured the heavy 50g partner has the urology department illness complication and the multisystems pathological change BPH patient uses the green laser vaporization technique treatment. Finally: 45 examples safely passed encircle the surgery time. Surgery time 40~126min, average 82min. In the technique 3 examples have a more obvious hemorrhage, the technique latter 2 examples appear the temporary urine to remain, 4 examples temporarily urinate the incontinence. After the technique the international prostate gland symptom grades (IPSS), the quality of life grades (Qol), equally the biggest urine (Qmax), PVR improves remarkably. The conclusion green laser vaporization technique treats the high danger specific weight prostate gland proliferation is one kind of security is effective, bleeds few, restores quickly micro creates the surgery, is the high danger specific weight patient first choice method. keyword】 laser； The prostate gland vaporizes the technique； High danger specific weight； Prostate gland proliferation 2005年3月至2006年6月我科对45例伴有多系统病变 的重度前列腺增生(重量〉50g)患者行经尿道绿激光汽化术， 术后观察3个月至1年，效果满意。现报告如下： 1资料与方法 1.1 一般资料:本组45例，均为住院病人，年龄65-85 岁，平均76岁。均符合良性前列腺增生诊断标准，病史平 均6. 5年。血PSA高于正常或直肠指诊可疑结节者均行穿刺 活检排除前列腺癌。按照Rous标准，111°增生32例，IV° 增生16例，前列腺重量52-178g，平均96go国际前列腺症 状评分(IPSS)27-34分，平均30. 2分，