Sun Feng, Cui Di, Wei Hai-bin, Zhuo Jian, Han Bang-min, Zhao Fu-jun, Sun Xiao-wen, Xia Shu-jie
Department of Urology Surgery, First People's Hospital, Shanghai Jiaotong University, Shanghai 200080, China.
Department of Urology Surgery, First People's Hospital, Shanghai Jiaotong University, Shanghai 200080, China. Email:
Zhonghua Yi Xue Za Zhi. 2013 Dec 24;93(48):3857-60.
To evaluate the long-term efficacies and complications of thulium laser resection of prostate-tangerine technique (TmLRP-TT) in the treatment of benign prostatic hyperplasia (BPH).
From November 2004 to December 2009, a total of 348 BPH patients undergoing TmLRP-TT at our hospital were evaluated retrospectively for long-term efficacies and complications. The follow-up data included international prostate symptom score (IPSS), quality of life score (QOL), maximum urinary flow (Qmax) and post void urinary residual (PVR).
After 4 years, IPSS decreased 70% (22.7 ± 7.7 vs 6.8 ± 5.1) , QOL decreased 65% (4.3 ± 0.7 vs 1.5 ± 1.0), Qmax increased 212% (6.0 ± 2.6 ml/s vs 18.7 ± 4.6 ml/s) and PVR decreased 83% (104.7 ± 34.3 ml vs 17.7 ± 10.7 ml). Cumulative incidences of long-term complications was 6.0% (n = 21), including a second TmLRP-TT due to BPH recurrence (n = 4, 1.2%), urethral stricture (n = 8, 2.3%) and bladder neck contracture (n = 9, 2.6%). Overall, 93% were satisfied with surgical outcomes.
TmLRP-TT has excellent efficacies with a low rate of long-term complications. Most patients are satisfied with surgical outcomes.
评估前列腺橘瓣状铥激光切除术（TmLRP-TT）治疗良性前列腺增生（BPH）的长期疗效及并发症。
回顾性分析2004年11月至2009年12月在我院接受TmLRP-TT治疗的348例BPH患者的长期疗效及并发症。随访数据包括国际前列腺症状评分（IPSS）、生活质量评分（QOL）、最大尿流率（Qmax）和残余尿量（PVR）。
4年后，IPSS下降70%（22.7±7.7对6.8±5.1），QOL下降65%（4.3±0.7对1.5±1.0），Qmax增加212%（6.0±2.6ml/s对18.7±4.6ml/s），PVR下降83%（104.7±34.3ml对17.7±10.7ml）。长期并发症的累积发生率为6.0%（n=21），包括因BPH复发而行二次TmLRP-TT（n=4，1.2%）、尿道狭窄（n=8，2.3%）和膀胱颈挛缩（n=9，2.6%）。总体而言，93%的患者对手术结果满意。
TmLRP-TT疗效优异，长期并发症发生率低。大多数患者对手术结果满意。
