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目的探讨高功率绿激光手术技术改进治疗良性前列腺增生(BPH)的安全性和临床疗效。方法本组30例BPH患者,年龄60~83岁,平均(71.8±6.9)岁。前列腺大小40~106g,平均(71.7±16.2)g。术中采用侧射式高功率绿激光将前列腺分叶剜除,将剜除的前列腺分条块状切碎,应用冲洗器将条块状组织吸出。结果手术均获成功。平均手术时间(59.0±16.1)min、术中出血量(36.3±18.5)ml、术后带尿管时间(35.1±20.6)h。IPSS、Qmax、PVR与术前比较差异均有统计学意义(P<0.01)。结论绿激光选择性前列腺汽化术中前列腺腔内分叶状剜除并条块状切除组织技术安全可靠、效果满意。
Objective To investigate the safety and clinical efficacy of high power green laser surgery in the treatment of benign prostatic hyperplasia (BPH). Methods The group of 30 patients with BPH, aged 60 to 83 years, mean (71.8 ± 6.9) years. Prostate size 40 ~ 106g, with an average (71.7 ± 16.2) g. Intraoperative use of side-fired high-power green laser prostate lobectomy in addition to the removal of prostate prickly mass chopped, the use of flusher will strip the tissue sucked out. The results of surgery were successful. The mean operation time was 59.0 ± 16.1 min, the blood loss was 36.3 ± 18.5 ml and the duration of catheterization was 35.1 ± 20.6 h. IPSS, Qmax, PVR and preoperative difference was statistically significant (P <0.01). Conclusion Green laser-selective prostate gastrectomy in the lobectomy and lump resection tissue technology is safe and reliable, with satisfactory results.