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激光间质内凝固治疗前列腺增生症
引用本文:单炽昌,吴开俊,郭彬.激光间质内凝固治疗前列腺增生症[J].中国激光医学杂志,2001,10(2):93-95.
作者姓名:单炽昌  吴开俊  郭彬
作者单位:广州医学院第一附属医院泌尿外科
摘    要:目的;探讨激光间质内凝固治疗前列腺增生症的效果。方法:前列腺增生症患者100例,平均年龄68岁,Ⅰ度增生8例,Ⅱ度增生72例,Ⅲ度增生20例,在硬膜外麻醉下行前列腺组织激光间质内凝固治疗,Nd:YAG激光输出功率50W,每增生叶穿刺1-6点,每点治疗时间5min。结果:随访3-24个月,70%的病人症状和尿流率明显改善,无一例发生尿失禁及严重感染等合并症,23例因故改行其他手术方式治疗。结论:激光间 质内凝固治疗前列腺增生症方法简单,安全、尤其适合于高危病人,治疗效果与手术者的经验和插入前列腺叶的点数有关。

关 键 词:前列腺增生症  激光疗法  治疗  ILTT
文章编号:1003-9430(2001)02-0093-03
修稿时间:2000年3月27日

Interstital Laser Thermotherapy for the Treatment of Benign Prostatic Hyperplasia
SHAN Chichang,Wu Kaijun,GUO Bin.Interstital Laser Thermotherapy for the Treatment of Benign Prostatic Hyperplasia[J].Chinese Journal of Laser Medicine & Surgery,2001,10(2):93-95.
Authors:SHAN Chichang  Wu Kaijun  GUO Bin
Institution:SHAN Chichang,WU Kaijun,GUO Bin Departrment of Urology,the First Affiliated Hospital,Guangzhou Medical College,Guangzhou 510120,China
Abstract:Objective To evaluate the therapeutic effect of interstitial laser thermotherapy for the treatment of benign prostatic hyperplasia(BPH). Methods 100 patients with BPH were treated by interstitial Nd∶YAG laser thermotherapy from Nov 1993 to June 1998. The laser output power was 50 W. 1-6 points in a lobe were inserted and irradiated, 5 min per point. Results The patients were followed up for 3-24 months with satisfactory result. Amelioration of subjective symptoms and improvement of MFR were achieved in 70% of the 100 cases. Conclusions The results show that interstitial Nd∶YAG laser thermotherapy is safe and simple, especially indicated for high risk patients. Efficacy of the procedure is higly related to the experience of the operator and to the number of treatment points.
Keywords:Prostatic hyperplasia  Lasers
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