铥钇钕激光前列腺电切术(ThuLEP)--我们在 246 例患者中的经验。

IF 0.7 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Nikola Zebić, Velimir Terzić, Vinko Krajina
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引用次数: 0

摘要

近 20 年来,治疗良性前列腺增生症(BPH)的新型微创手术不断发展。随着激光去核技术在前列腺手术中的应用,以前的标准手术方法(开放性耻骨后或经膀胱腺切除术和经尿道前列腺切除术)已变得不再适用,尤其是在前列腺体积非常大的情况下。本文旨在介绍我科应用铥:YAG 激光治疗良性前列腺增生症的经验和结果。在过去五年中,共有 246 名患者因前列腺增生症或下尿路症状接受了铥:YAG 激光前列腺去核术(ThuLEP),并进行了全面的泌尿系统评估。患者的平均年龄为 73 岁(51-95 岁不等),平均手术时间为 92 分钟。去核组织的平均重量为 73 克。术中和术后早期并发症发生率低,住院时间短,证明了这种手术的微创性,显著改善了尿动力学参数,大大减少了排尿后残余尿量。最重要的手术和技术特点(去核和低功率激光应用)使 ThuLEP 成为一种不受前列腺体积限制的安全高效的手术方法。ThuLEP 有可能取代目前治疗良性前列腺增生症的标准手术方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
THULIUM:YAG LASER ENUCLEATION OF THE PROSTATE (ThuLEP) - OUR EXPERIENCE IN 246 PATIENTS.

New minimally invasive procedures to treat benign prostatic hyperplasia (BPH) have been developed in the last 20 years. With the introduction of laser enucleation techniques in prostate surgery, previous standard surgical procedures (open retropubic or transvesical adenectomy and transurethral resection of the prostate) have become less relevant, especially in case of very large prostates. The objective of this paper is to describe the experience and results of thulium:YAG laser application in BPH treatment in our department. In the last five years, 246 patients underwent thulium:YAG laser enucleation of the prostate (ThuLEP) due to BPH or lower urinary tract symptoms following complete urologic evaluation. The mean age of our patients was 73 (range 51-95) years and mean duration of surgery was 92 minutes. The mean weight of enucleated tissue was 73 grams. A low rate of intraoperative and early postoperative complications and short length of stay proved minimal invasiveness of this procedure, which results in significant improvements in urodynamic parameters and substantially reduces the post-void residual urine volume. The most important surgical and technical characteristics (enucleation and low-power laser application) make ThuLEP a safe and efficient surgical method not limited by the prostate volume. ThuLEP has a potential to displace the current standard surgical procedures to treat BPH.

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来源期刊
Acta clinica Croatica
Acta clinica Croatica 医学-医学:内科
CiteScore
1.10
自引率
16.70%
发文量
38
审稿时长
6-12 weeks
期刊介绍: Acta Clinica Croatica is a peer reviewed general medical journal that publishes original articles that advance and improve medical science and practice and that serve the purpose of transfer of original and valuable information to journal readers. Acta Clinica Croatica is published in English four times a year.
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