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目的观察1470nm半导体激光汽化术治疗良性前列腺增生症(BPH)的临床效果和安全性。方法应用1470nm半导体激光对78例BPH患者行经尿道前列腺激光汽化术治疗,观察手术前后IPSS评分、QOL评分、AUA评分、最大尿流率(Qmax)、最大尿流时平均逼尿肌压力(Pdet.Qmax)、残余尿(RUV)等指标变化。结果术后1个月、6个月随访AVA、Qmax、Pdet.Qmax、IPSS、QOL及PVR均较术前均有明显改善(P<0.01)。结论 1470nm半导体激光汽化术治疗BPH是一种安全有效的治疗手段。
Objective To observe the clinical effect and safety of 1470nm semiconductor laser vaporization in the treatment of benign prostatic hyperplasia (BPH). Methods Seventy - eight patients with BPH underwent transurethral vaporization of the prostate by 1470nm semiconductor laser. The IPSS score, QOL score, AUA score, maximal flow rate (Qmax) and mean detrusor pressure (Pdet) were observed before and after operation. Qmax), residual urine (RUV) and other indicators change. Results The AVA, Qmax, Pdet.Qmax, IPSS, QOL and PVR at 1 month and 6 months after operation were significantly improved compared with that before operation (P <0.01). Conclusion 1470nm semiconductor laser vaporization of BPH is a safe and effective treatment.