摘要
[目的]探讨经尿道KTP激光治疗良性前列腺增生的安全性与有效性。[方法]用经尿道KTP激光选择性光气化术行前列腺气化切除（PVP）440例,前列腺35-160 g,平均49.4 g,术后随访3-6个月。[结果]PVP手术时间16-170（52±33）min;无需输血病例,无电切综合征发生。术后3-6个月,最大尿流率（Qmax）由术前的（5.8±3.2）mL/s上升至（21.4±5.5）mL/s;国际前列腺症状评分（IPSS）由术前的24.1分下降至6.6分;生活质量评分（QOL）由术前的5.3分下降至1.5分。Qmax,IPSS,QOL手术前后比较差异均有显著性意义（P〈0.05）。[结论]经尿道KTP激光治疗良性前列腺增生安全有效。
[Objective] To investigate the safety and effectiveness of transurethral KTP laser photoselective vaporization of prostate（PVP） in the treatment of benign prostatic hyperplasia（BPH）.[Methods] A total of 440 patents with BPH were treated between October 2004 to January 2007 with PVP,and evaluated 3~6 months postoperatively by International Prostate Symptom Score（IPSS）,maximum urinary flow rate（Qmax）and Quality of Life（QOL）.The median weight of the prostate was 49.4 g（range from 35 to 160g）.[Results]The PVP was successfully performed on all the 440 patients and no patients required blood transfusion.The mean operative time was 52±33 min（range from 16 to 170min）.The Qmax increased from 5.8±3.2 ml/s to 21.4±5.5ml/s.The IPSS decreased from 24.1 to 6.6.The QOL decreased from 5.3 to 1.5.Postoperative values of IPSS,QOL and Qmax showed significant improvement as compared with preoperative values（P〈0.05）.[Conclusion]Transurethral KTP laser photoselective vaporization is a safe and effective method for the treatment of BHP.
出处
《医学临床研究》
CAS
2008年第11期2026-2027,2031,共3页
Journal of Clinical Research
