|本期目录/Table of Contents|

[1]陈宇东,杜 钰,韩 刚.经尿道2 μm激光分割式汽化切除术治疗前列腺增生的学习曲线分析[J].医学研究与战创伤救治(原医学研究生学报),2016,18(01):32-34.[doi:10.3969/j.issn.1672-271X.2016.01.009]
 CHEN Yu-dong,DU Yu,HAN Gang..Learning curve of 2 μm laser dividing vaporesection for treatment of benign prostatic hyperplasia[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2016,18(01):32-34.[doi:10.3969/j.issn.1672-271X.2016.01.009]
点击复制

经尿道2 μm激光分割式汽化切除术治疗前列腺增生的学习曲线分析()

《医学研究与战创伤救治》(原医学研究生学报)[ISSN:1672-271X/CN:32-1713/R]

卷:
第18卷
期数:
2016年01期
页码:
32-34
栏目:
出版日期:
2016-01-20

文章信息/Info

Title:
Learning curve of 2 μm laser dividing vaporesection for treatment of benign prostatic hyperplasia
作者:
陈宇东杜 钰韩 刚
071000 河北保定,解放军252医院泌尿外科
Author(s):
CHEN Yu-dong DU Yu HAN Gang.
Department of Urology, 252 Hospital of PLA, Baoding, Hebei 071000, China
关键词:
前列腺增生汽化切割激光手术
Keywords:
benign prostatic hyperplasia vaporesection laser surgery
分类号:
R697.32;R454.2
DOI:
10.3969/j.issn.1672-271X.2016.01.009
文献标志码:
A
摘要:
目的 探讨2 μm激光分割式汽化切除术治疗良性前列腺增生的学习曲线。方法 回顾性分析2012年3-12月由同一组医师完成的60例手术资料。按手术先后分为A、B 和C组,每组20例,比较三组情况和手术效果。结果 手术时间:A组>B组>C组;住院天数:C组>B组>A组;术后3个月和12月随访时三组最大尿流率、国际前列腺症状评分和生活质量评 分与术前相比均显著改善(P<0.05)。结论 经尿道2 μm激光分割式汽化切除术治疗良性前列腺增生安全、有效,其学习曲线约为20~40例。
Abstract:
Objective To explore learning curve in performing 2 μm laser dividing vaporesections for treatment of benign prostatic hyperplasia(BPH). Methods A retrospective analysis of 60 cases with BPH for 2 μm laser dividing vaporesections from March 2012 to December 2012 was performed. All cases were divided into A, B, C group equally, and the situation and operation effect were compared. Results Operating time decreased continuously from the 1st 20 cases to last, while the C group showed longer hospitalization day than the A group and B. Furthermore, all groups in follow-up of 3 months and 12 months showed great improvement in Qmax, international prostate symptom score when compared with pre-operation data. Conclusion 2 μm laser dividing vaporesection was a safe and effective micro-invasive operation for BPH. The learning curve is 20-40 cases approximately.

参考文献/References:

[1]韩 刚,陈宇东,张 艳,等.经尿道2 μm激光同期治疗前列腺增生并发膀胱结石22例[J].解放军医学院学报,2013,34(8):828-830.
[2]陈宇东,韩 刚,刘伟英,等.经尿道2 μm激光前列腺汽化切除术治疗良性前列腺增生临床观察[J].解放军医药杂志,2012,24(12):19-21.
[3]杨 勇,孙东翀,张 旭,等.经尿道2 μm激光分割式汽化切除术治疗良性前列腺增生[J].中华外科杂志,2009,30(11):753-756.
[4]仇让学,孟庆超,彭荣军,等.经尿道等离子双极电切术联合腔内剜除法治疗前列腺增生症[J].东南国防医药,2009,11(2):153-154.
[5]黄 维,刘 励,陈光勇,等.前列腺突入膀胱距离及逼尿肌厚度与膀胱出口梗阻的关系探讨[J].东南国防医药,2012,14(5):435-437.
[6]丁建华,周晨曦,吴渊文,等.经尿道前列腺切除同时行疝修补术22例报告[J].东南国防医药,2005,7(4):273-274.
[7]梁立彬,梁长春,康利玲,等.2 μm激光与经尿道汽化电切治疗前列腺增生疗效比较[J].河北医科大学学报,2011,32(7):841-843.
[8]林成楚,汪志伟,李 毅,等.RevoLix2微米激光汽化切除治疗前列腺增生症临床研究[J].山东医药,2010,50(16):30-31,34.
[9]Wendt-Nordahl G, Huckele S, Honeck P, et al. Systematic evaluation of a recently introduced 2-microm continuous-wave thulium laser for vaporesection of the prostate [J]. J Endourol, 2008, 22(5):1041-1045.
[10]Mattioli S, Mnuoz R, Recasens R, et al. Treatment of benign prostatic hyperplasia with the Revolix laser[J]. Arch Esp Urol, 2008, 61(9):1037-1043.
[11]Bach T, Herrmann TR, Ganzer R, et al.Revolix TM vaporesection of the prostate: initial results of 54 patients with a 1 year follow-up[J]. World J Urol, 2007, 25(3):257-262.
[12]Fu WJ, Hong BF, Yang Y, et al. Vaporesection for managing benign prostatic hyperplasia using a 2-microm continuous-wave laser: a prospective trial with 1-year follow-up[J]. BJU Int, 2009, 103(3):352-356.

相似文献/References:

[1]计小平.老年前列腺增生72例临床分析[J].医学研究与战创伤救治(原医学研究生学报),2008,10(03):215.
[2]褚 健,邓晓俊,郎根强,等.980 nm二极管激光与等离子经尿道前列腺剜除术治疗良性前列腺增生的应用比较[J].医学研究与战创伤救治(原医学研究生学报),2016,18(03):253.[doi:10.3969/j.issn.1672-271X.2016.03.009]
 CHU Jian,DENG Xiao-jun,LANG Gen-qiang,et al.Comparison of the diode laser and the transurethral plasmakinetic enucleation of the prostate for treatment of benign prostatic hyperplasia[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2016,18(01):253.[doi:10.3969/j.issn.1672-271X.2016.03.009]

备注/Memo

备注/Memo:
解放军252医院院管课题基金资助项目(YY2012-12,2014252YY01)
更新日期/Last Update: 2016-01-20