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绿激光治疗前列腺增生症并发心力衰竭患者的临床疗效(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2009年第4期
页码:
554-556
栏目:
临床研究
出版日期:
2009-06-25

文章信息/Info

Title:
Clinical efficacy of photoselective vaporization of prostate (Green Light PV) for benign prostatic hyperplasia with heart failure: a short-term prospective randomized trial
作者:
刘贺亮; 刘飞; 王福利; 张更; 杨波; 袁建林; 王禾
第四军医大学西京医院泌尿外科，陕西 西安 710032
Author(s):
LIU He-liang;  LIU Fei;  WANG Fu-li;  ZHANG Geng;  YANG Bo;  YUAN Jian-lin;  WANG He
Department of Urology, Xijing Hospital, Fourth Military Medical University, Xian 710032, Shaanxi, China
关键词:
绿激光; 前列腺增生; 心力衰竭
Keywords:
photoselective vaporization;  benign prostatic hyperplasia;  heart failure
分类号:
R541.61
DOI:
-
文献标识码:
A
摘要:
目的 评价经尿道选择性绿激光汽化术治疗前列腺增生症并发心力衰竭患者的临床疗效。方法 选择60例前列腺增生并发心衰患者随机分组，30例接受选择性绿激光前列腺汽化术(绿激光组)，30例接受经尿道前列腺切除术(TURP组)。结果 两组均取得良好疗效，但绿激光组在出血情况、膀胱灌洗液用量、拔管时间、住院时间等方面均优于TURP组。结论 绿激光是治疗前列腺增生症并发心力衰竭的较好方法。
Abstract:
AIM: To evaluate the clinical efficacy of photoselective vaporization of the prostate (PVP) for the treatment of patient with benign prostatic hyperplasia (BPH) with heart failure. METHODS: A total of 60 BPH patients with heart failure were randomly allocated to PVP (n=30) or transurethral resection of the prostate (TURP, n=30). Perioperative parameters, functional outcome, and adverse events up to 1 month postoperatively were compared between groups. RESULTS: Although satisfactory effects were observed in both groups, patients who underwent PVP experienced less bleeding complications, less bladder irrigation solution, shorter time of catheterization, and shorter hospital stay. CONCLUSION: PVP is a safe and effective surgical approach for BPH patients with heart failure.

参考文献/References

［1］ 顾方六. 现代前列腺病学［M］. 北京: 人民军医出版社, 2002.

［2］ Illing R. Surgical and minimally invasive interventions for LUTS/BPH: Highlights from 2006［J］. Eur Urol Suppl, 2007, 6(12):701-709.

［3］ Reich O, Gratzke C, Stief CG. Techniques and long-term results of surgical procedures for BPH［J］. Eur Urol, 2006,49(6):970-978.

［4］ Kuntz RM. Laser treatment of benign prostatic hyperplasia［J］. World J Urol, 2007, 25(3):241-247.

［5］ 洪宝发，蔡伟，符伟军，等. 选择性绿激光汽化术治疗良性前列腺增生的临床研究［J］. 中华泌尿外科杂志， 2005, 1(26):17-19.

［6］ Horasanli K, Silay MS, Altay B, et al. Photoselective potassium titanyl phosphate (KTP) laser vaporization versus transurethral resection of the prostate for prostates larger than 70 mL: a short-term prospective randomized trial［J］. Urology, 2008, 71(2):247-251.

［7］ Tasci AI, Tugcu V, Sahin S, et al. Rapid Communication: Photoselective Vaporization of the Prostate versus Transurethral Resection of the Prostate for the Large Prostate: A Prospective Nonrandomized Bicenter Trial with 2-Year Follow-Up［J］. J Endourol, 2008, 22(2):347-354.

［8］ Bouchier-Hayes DM, Anderson P, Van Appledorn S, et al. KTP laser versus transurethral resection: early results of a randomized trial ［J］. J Endourol, 2006, 20(8):580-585.

［9］ Rassweiler J, Teber D, Kuntz R, et al. Complications of transurethral resection of the prostate (TURP)--incidence, management, and prevention［J］. Eur Urol, 2006, 50(5):969-979.

备注/Memo

备注/Memo:
收稿日期：2008-5-15.基金项目：国家自然科学基金项目资助（30772683） 通讯作者:刘飞，主治医师，博士,主要从事神经尿动力学及肾移植相关研究Email：liufeihh@hotmail.com 作者简介:刘贺亮，副教授，副主任医师，博士Email：liuhel@fmmu.edu.cn
更新日期/Last Update: 2009-06-15