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目的:总结非接触式激光治疗前列腺增生症(BPH)的疗效。方法:对400例BPH患者采用Nd∶YAG非接触式激光经尿道行前列腺切除术,术后随访3个月~4年。结果:治疗总有效率为85.0%,无尿失禁、膀胱穿孔等严重并发症,治疗前后国际前列腺症状评分、最大尿流率、平均尿流率、残余尿量及前列腺重量等主客观参数测定值经统计学处理均有显著性差异(P<0.05)。结论:本疗法具有操作简便、安全有效、痛苦小、并发症少等优点,不失为治疗前列腺增生症的手段之一,尤适于高龄有合并症者。
Objective: To summarize the efficacy of non-contact laser treatment of benign prostatic hyperplasia (BPH). Methods: 400 cases of BPH patients were treated by Nd: YAG non-contact laser transurethral resection of the prostate. The patients were followed up for 3 months to 4 years. Results: The total effective rate of treatment was 85.0%. There was no urinary incontinence, serious complications such as bladder perforation, subjective and objective parameters such as international prostatic symptom score, maximum uroflow rate, average urinary flow rate, residual urine volume and prostate weight before and after treatment The measured values were statistically significant (P <0.05). Conclusion: The therapy has the advantages of simple operation, safe and effective, little pain and few complications, it is one of the means to treat benign prostatic hyperplasia and is especially suitable for elderly patients with complications.