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钬激光前列腺剜除术的最新进展及其经久不衰的原因。

An update on holmium laser enucleation of the prostate and why it has stood the test of time.

机构信息

Indiana Clinic-Urology, Indianapolis, Indiana, USA.

出版信息

Curr Opin Urol. 2011 Jan;21(1):31-5. doi: 10.1097/MOU.0b013e32834120d7.

DOI:10.1097/MOU.0b013e32834120d7
PMID:21099689
Abstract

PURPOSE OF REVIEW

Holmium laser enucleation of the prostate is an endoscopic alternative for the treatment of symptomatic benign prostatic hyperplasia for men with prostates of any size. Holmium laser enucleation of the prostate is superior to other modalities for the treatment of benign prostatic hyperplasia. We present the most current literature on this procedure.

RECENT FINDINGS

In the 18-month span of this review, there have been a number of articles published on holmium laser enucleation of the prostate. These studies assessed the safety, efficacy, and durability of this procedure. Among these is the largest study to date providing supporting evidence to the long-term efficacy and safety of holmium laser enucleation of the prostate. Other studies provide compelling evidence to suggest that holmium laser enucleation of the prostate can be used in prostates of any size and can provide long-term durable outcomes.

SUMMARY

Holmium laser enucleation of the prostate represents an effective, well tolerated, and durable procedure to relieve bladder outlet obstruction due to benign prostatic hyperplasia. Holmium laser enucleation of the prostate is a minimally invasive approach which accomplishes complete adenoma removal and, as such, provides unique advantages over other surgical treatments for men with benign prostatic hyperplasia.

摘要

目的综述

钬激光前列腺剜除术是一种治疗各种大小前列腺良性前列腺增生症的内镜替代方法,适用于有症状的前列腺增生症患者。与其他治疗良性前列腺增生症的方法相比,钬激光前列腺剜除术具有优势。我们介绍了该手术的最新文献。

最近发现

在本综述的 18 个月期间,发表了许多关于钬激光前列腺剜除术的文章。这些研究评估了该手术的安全性、疗效和持久性。其中最大的一项研究为钬激光前列腺剜除术的长期疗效和安全性提供了支持证据。其他研究提供了有力的证据表明,钬激光前列腺剜除术可用于各种大小的前列腺,并可提供长期持久的疗效。

总结

钬激光前列腺剜除术是一种有效、耐受性好且持久的方法,可缓解因良性前列腺增生症引起的膀胱出口梗阻。钬激光前列腺剜除术是一种微创方法,可完成腺瘤的完全切除,因此与其他治疗良性前列腺增生症的手术方法相比具有独特的优势。

相似文献

1
An update on holmium laser enucleation of the prostate and why it has stood the test of time.钬激光前列腺剜除术的最新进展及其经久不衰的原因。
Curr Opin Urol. 2011 Jan;21(1):31-5. doi: 10.1097/MOU.0b013e32834120d7.
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Curr Opin Urol. 2008 Jan;18(1):41-5. doi: 10.1097/MOU.0b013e3282f128ce.
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Holmium laser enucleation of the prostate (HoLEP).钬激光前列腺剜除术(HoLEP)。
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Holmium laser enucleation of the prostate--outcomes independent of prostate size?钬激光前列腺剜除术——手术结果与前列腺大小无关?
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[Clinical observation of holmium laser enucleation of the prostate in the treatment of benign prostatic hyperplasia and overactive bladder].钬激光前列腺剜除术治疗良性前列腺增生合并膀胱过度活动症的临床观察
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Editorial comment on: Three-year outcome following holmium laser enucleation of the prostate combined with mechanical morcellation in 330 consecutive patients.关于“330例连续患者行钬激光前列腺剜除术联合机械粉碎术的三年随访结果”的编辑评论
Eur Urol. 2008 Mar;53(3):605-6. doi: 10.1016/j.eururo.2007.10.061. Epub 2007 Nov 5.

引用本文的文献

1
The Role of Minimally Invasive Surgical Techniques in the Management of Large-gland Benign Prostatic Hypertrophy.微创外科技术在大腺性良性前列腺增生症治疗中的作用
Rev Urol. 2015;17(3):140-9.
2
Towards optimizing prostate tissue retrieval following holmium laser enucleation of the prostate (HoLEP): Assessment of two morcellators and review of literature.优化前列腺钬激光剜除术(HoLEP)后前列腺组织取出:两种粉碎器的评估及文献综述
Can Urol Assoc J. 2015 Sep-Oct;9(9-10):E618-25. doi: 10.5489/cuaj.3035. Epub 2015 Sep 9.
3
Vapoenucleation of the prostate using a high-power thulium laser: a one-year follow-up study.
使用高功率铥激光进行前列腺汽化核化:一项为期一年的随访研究。
BMC Urol. 2015 May 9;15:40. doi: 10.1186/s12894-015-0032-7.
4
Difficulty in the intravesical morcellation procedure for leiomyoma of the prostate enucleated by HoLEP.经尿道钬激光前列腺剜除术(HoLEP)后前列腺平滑肌瘤膀胱内粉碎术的困难
BMJ Case Rep. 2013 Aug 21;2013:bcr2013200200. doi: 10.1136/bcr-2013-200200.
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Diode laser (980 nm) enucleation of the prostate: a promising alternative to transurethral resection of the prostate.二极管激光(980nm)前列腺剜除术:经尿道前列腺切除术的一种有前途的替代方法。
Lasers Med Sci. 2013 Feb;28(2):353-60. doi: 10.1007/s10103-011-1046-3. Epub 2012 Jan 27.
6
Single-port transvesical enucleation of the prostate for benign prostatic hyperplasia with severe intravesical prostatic protrusion.经尿道单孔前列腺剜除术治疗严重膀胱内前列腺突入的良性前列腺增生症。
World J Urol. 2012 Aug;30(4):511-7. doi: 10.1007/s00345-011-0758-0. Epub 2011 Sep 9.