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目的:探讨160W绿激光汽化术治疗体积大于80ml的BPH患者的疗效及手术技巧。方法:回顾性分析5 4例前列腺体积大于80 ml的BPH患者的围手术期及术后随访相关指标。结果:手术进行顺利,手术时间平均(78.0±15.3)min,术后留置尿管时间(3.0±1.5)d,术后住院时间(5.4±1.3)s。术后患者的IPSS评分,QOL评分,Q_(max)评分,膀胱剩余尿量RUV均较术前取得明显改善,差异有统计学意义(P<0.01)。术中无电切综合征发生,无输血病例。随访6个月均无尿失禁及尿路狭窄等并发症的发生。结论:160W绿激光汽化术对体积火于80 ml的BPH患者安全性高,出血少,具有良好疗效。
Objective: To investigate the curative effect and surgical technique of 160W green laser vaporization in patients with BPH larger than 80ml. Methods: The perioperative and postoperative follow-up of 54 BPH patients with prostate volume greater than 80 ml were retrospectively analyzed. Results: The operation was smooth and the operation time was averagely (78.0 ± 15.3) min. Postoperative catheterization time was 3.0 ± 1.5 days and postoperative hospital stay was (5.4 ± 1.3) s. The postoperative IPSS score, QOL score, Q max score and bladder residual urine volume RUV were significantly improved compared with that before operation (P <0.01). Surgery without electrical cut-off syndrome, no blood transfusion cases. All patients were followed up for 6 months without complications such as urinary incontinence and urinary tract obstruction. Conclusion: 160W green laser vaporization of the volume of 80ml of BPH patients with high safety, less bleeding, with good effect.