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經(jīng)尿道藍激光前列腺切開術(shù)治療小體積良性前列腺增生的臨床療效

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Efficacy of transurethral blue laser prostatomy in the treatment of small volume benign prostatic hyperplasia

ABSTRACT：Objective To explore the clinical efficacy and feasibility of blue laser transurethral incision of prostate （BLTUIP） in the treatment of small volume （≤30 mL） benign prostatic hyperplasia （BPH）.Methods The clinical data of 34 BPH patients treated with BLTUIP in the First Affiliated Hospital of Xinjiang Medical University during Mar.and Oct.2023 were retrospectively analyzed.The operation time，450 nm blue laser light emission time，980 nm red laser light emission time，postoperative bladder irrigation time，international prostate symptom score （IPSS），quality of life score （QoL），maximum flow rate （Qmax），post-void residual （PVR），international index of erectile function-5 （IIEF-5），ejaculation and incidence of postoperative complications were analyzed.Results All operations were successful，without conversion to open or transurethral resection of the prostate （TURP）.The operation time was 12.7 （10.8，14.3） min，the 450 nm blue laser light emission time was 11.7 （9.6，13.3） min，the 980 nm red laser light emission time was 1.0 （1.0，2.0） min，the postoperative bladder irrigation time was 5.0 （2.8，8.0） h，the total hospital stay was 6.0 （4.0，7.0） d，the postoperative hospital stay was 2.0 （2.0，3.0） d，and the postoperative catheter retention time was 2.0 （0，2.0） d.After 3 or 6 months of follow-up，the IPSS，QoL and PVR were significantly lower than those before operation，while the Qmax was significantly higher，with significant differences （P<0.001）；but there was no significant difference in the IIEF-5 score （P>0.05）.During the 3-month follow-up，4 patients （11.8%） had fever；during the 3-6 month follow-up，1 patient （2.9%） had external urethral stricture；of the 8 patients with sexual life before operation，1 （12.5%） had retrograde ejaculation after operation.No hematuria occurred.Conclusion BLTUIP is a new，safe and efficient surgical treatment for BPH with a volume ≤30 mL，which can shorten the operation time，reduce postoperative complications，and improve the quality of life.

KEY WORDS：transurethral blue laser prostatomy；450 nm blue laser；small volume；benign prostatic hyperplasia

摘要：

目的 分析經(jīng)尿道藍激光前列腺切開術(shù)（BLTUIP）治療小體積（≤30 mL）良性前列腺增生（BPH）的臨床效果與可行性。（剩余8592字）

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