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目的:探讨120W/2μm铥激光前列腺汽化剜除术(ThuVEP)的安全性及疗效。方法:应用120 W连续波2μm ThuVEP治疗BPH患者59例,分析患者术前资料及围术期情况,并对相应并发症进行评估。结果:患者平均前列腺体积(59.6±29.6)ml,平均手术时间(96.2±26.9)min,剜除时间(40.6±25.7)min,平均保留尿管时间(5.7±1.0)d。59例术后3个月随访效果良好。手术前后生活质量(QOL)评分为(4.5±1.2)∶(1.5±0.9)分,国际前列腺症状(IPSS)评分为(22.5±6.9)∶(4.9±1.3)分,最大尿流率为(7.9±4.6)∶(25.2±11.3)ml/s,剩余尿量为(148.6±76.5)∶(23.5±28.6)ml。2例术后需输血治疗。并发尿道狭窄2例。结论:120 W/2μmThuVEP治疗BPH是安全有效的,且并发症较少。
Objective: To investigate the safety and efficacy of 120W / 2μm 铥 laser prostatectomy (ThuVEP). Methods: 59 cases of BPH were treated with 120 W continuous wave 2 μm ThuVEP. Preoperative data and perioperative period were analyzed. The corresponding complications were evaluated. Results: The average volume of prostate was (59.6 ± 29.6) ml, the average operation time was 96.2 ± 26.9 min, the removal time was 40.6 ± 25.7 min, and the average retention catheter time was 5.7 ± 1.0 d. 59 cases 3 months follow-up effect is good. The QOL scores before and after surgery were (4.5 ± 1.2) :( 1.5 ± 0.9) points, IPSS score was (22.5 ± 6.9) :( 4.9 ± 1.3) points, and the maximum uroflow rate was (7.9 ± 4.6): (25.2 ± 11.3) ml / s, the residual urine volume was (148.6 ± 76.5) :( 23.5 ± 28.6) ml. Two patients needed blood transfusion after operation. Concurrent urethral stricture in 2 cases. Conclusion: 120 W / 2 μmThuVEP is safe and effective in the treatment of BPH with fewer complications.