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[间质激光凝固术治疗良性前列腺增生症。初步结果]

[Interstitial laser coagulation in the treatment of benign prostatic hyperplasia. Preliminary results].

作者信息

Daehlin L, Mohn J, Høisaeter P A, Hedlund H, Kapstad L, Moen G, Fossberg E

机构信息

Urologisk seksjon, Haukeland Sykehus, Bergen.

出版信息

Tidsskr Nor Laegeforen. 1997 Oct 30;117(26):3790-3.

PMID:9417682
Abstract

51 patients aged 68 (range 52-81) years with lower urinary tract symptoms compatible with obstruction from benign prostatic hyperplasia were treated with interstitial laser coagulation (ILC). Postoperative urinary retention lasting less than one week was seen in the majority of cases. All patients were followed up for three months and ten cases had further follow-up after one year. Three months after treatment the international prostate symptom score decreased from 23.3 +/- 0.7 to 8.9 +/- 0.8 and was 10.2 +/- 2.1 after one year. Peak urinary flow increased concomitantly from 8.3 +/- 0.4 to 12.2 +/- 0.7 at three months and was 11.5 +/- 1.4 ml/sec after one year. Three patients received other, additional treatment because the ILC-treatment failed. In conclusion, interstitial laser coagulation had marked effects on symptoms, whereas the effects on objective parameters were less pronounced in this selected group of patients. However, more extensive follow-up, is essential for further evaluation of this new treatment procedure.

摘要

51名年龄为68岁(范围52 - 81岁)、有与良性前列腺增生梗阻相符的下尿路症状的患者接受了间质激光凝固术(ILC)治疗。大多数病例出现了持续时间少于一周的术后尿潴留。所有患者均随访三个月,其中10例在一年后进行了进一步随访。治疗三个月后,国际前列腺症状评分从23.3±0.7降至8.9±0.8,一年后为10.2±2.1。最大尿流率在三个月时从8.3±0.4相应增加至12.2±0.7,一年后为11.5±1.4毫升/秒。3名患者因ILC治疗失败而接受了其他额外治疗。总之,间质激光凝固术对症状有显著影响,而在这组特定患者中对客观参数的影响则不太明显。然而,更广泛的随访对于进一步评估这种新治疗方法至关重要。

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