Cresswell M D, Cass C B, Fraundorfer M R, Gilling P J
Department of Urology, Tauranga Hospital.
N Z Med J. 1997 Mar 14;110(1039):76-8.
To report the development of the technique of laser resection of the prostate using the holmium:YAG (Ho:YAG) laser and to present preliminary results.
Four hundred and eleven patients underwent Ho:YAG laser resection of the prostate (HoLRP). Preoperative and postoperative symptom scores, and flow rates were assessed. A description of the technique and its development is presented.
The mean American Urological Association (AUA) symptom score reduced from 23.6 to 4.9, and the mean peak urinary flow rate improved from 7.7 ml/s to 22.6 ml/s at 6 months postoperatively. The mean hospital stay was 1.3 days and complication rates were lower than those generally associated with electrosurgical transurethral resection of the prostate (TURP).
Transurethral resection of the prostate using Ho:YAG laser produces early results equivalent to or better than those usually associated with electrosurgical TURP, with a shorter hospital stay and a lower rate of complications.
报告使用钬激光（Ho:YAG）进行前列腺激光切除术的技术发展情况并展示初步结果。
411例患者接受了钬激光前列腺切除术（HoLRP）。评估术前和术后症状评分及尿流率。介绍了该技术及其发展情况。
术后6个月时，美国泌尿外科学会（AUA）平均症状评分从23.6降至4.9，平均最大尿流率从7.7毫升/秒提高至22.6毫升/秒。平均住院时间为1.3天，并发症发生率低于经尿道前列腺电切术（TURP）通常的并发症发生率。
使用钬激光进行经尿道前列腺切除术产生的早期结果等同于或优于经尿道前列腺电切术通常的结果，住院时间更短且并发症发生率更低。
