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目的:提高高危重度前列腺增生症(BPH)的治疗水平。方法:对45例前列腺B超测重50g伴有泌尿科并发症和多系统病变BPH患者采用绿激光汽化术治疗。结果:45例均安全度过围手术期。手术时间40-126min,平均82min。术中3例出现较明显出血,术后2例出现暂时性尿潴留,4例暂时尿失禁。术后国际前列腺症状评分(IPSS)、生活质量评分(Qol)、平均最大尿流率(Qmax)、PVR改善显著。结论:绿激光汽化术治疗高危重度前列腺增生是一种安全有效、出血少,恢复快的微创手术,是高危重度患者首选方法。
Objective: To improve the treatment of high-risk severe benign prostatic hyperplasia (BPH). Methods: 45 cases of prostate B ultrasound weighing 50g with urological complications and multiple system lesions BPH patients with green laser vaporization treatment. Results: All the 45 patients were safely perioperatively. Surgery time 40-126min, an average of 82min. In 3 cases, there was obvious hemorrhage. There were 2 cases of temporary urinary retention and 4 cases of temporary urinary incontinence after operation. Postoperative International Prostate Symptom Score (IPSS), quality of life score (Qol), mean maximal flow rate (Qmax), PVR improved significantly. Conclusion: Green laser vaporization is a safe and effective minimally invasive surgery with less bleeding and faster recovery. It is the first choice for patients with high risk and severe degree.