摘要
目的 :探讨经尿道半导体激光组织内凝固治疗前列腺增生症的临床价值 .方法 :总结 5a来应用强生公司 830e型组织间插入式半导体激光治疗仪进行激光组织内凝固治疗4 2 0例前列腺增生症临床治疗与术后疗效 .结果 :全部病例均顺利承受激光手术治疗 ,372例获随访 ,随访 12～ 2 4mo ,治疗后 3mo ,IPSS为 8.0± 2 .6 ,QOL为 2 .1± 0 .5 ,Qmax和残余尿量分别为 (17.1± 3.0 )mL/s和 (9.6± 3.0 )mL ,与术前比较 ,上述各项指标有明显改善 ,疗效显著 (P <0 .0 1) .结论 :半导体激光治疗前列腺增生症具有损伤小、安全性高和并发症少等优点 ,术后 2～ 3mo以后有效率可达 10 0 % ,是一种治疗前列腺增生症安全、有效的方法 .
AIM: To evaluate the transuretheral interstitial laser coagulation of the prostate in patients with prostatic hyperplasia. METHODS: A total of 420 patients with prostatic hyperplasia from the 5 past years were treated by indigo 830e interstitial laser coagulation (ILC). The surgery safety and curative effect were observed. RESULTS: ILC procedures were successful in all the cases. Follow-up studies were carried out for 372 patients. Three months after operation, the IPSS score was 8.0±2.6, the QOL score was 2.1±0.5, and the Q max and residual urine were (17.1±3.0) mL/s and (9.6±3.0) mL respectively. All the signs were apparently improved and the curative effect was significantly (P<0.01). CONCLUSION: The best result can be achieved 2-3 months after the procedure and the effective rate reaches 100%. With less damage and less complications, diode laser is an effective and safe method to treat prostatic hyperplasia.
出处
《第四军医大学学报》
北大核心
2004年第18期1686-1688,共3页
Journal of the Fourth Military Medical University
关键词
前列腺增生
激光凝固术
prostatic hyperplasia
laser coagulation
