保留性功能450nm蓝激光前列腺汽化切除术治疗良性前列腺增生患者132例疗效观察

打开文本图片集

Efficacy of 450nm blue laser vaporization resection of the prostate in the treatment of 132 patients with benign prostatic hyperplasia

XU Xiaolong1，MAN Chao1，XU Qin1 ，YUE Chuanchao1 ，ZHAO Yongwei²

（1.Urinary Nephropathy Laser Treatment Center，Yingsheng Branch of Taian Central Hospital，Taian

271000；2.Department of Urology，Taian 88th Hospital， Taian 27100o，China）

ABSTRACT： ObjectiveTo explore the clinical effcacy，safety and changes in sexual function of 450nm blue laser vaporizationresectionof the prostate in the treatmentof benign prostatic hyperplasia（BPH）.MethodsThe clinical data of 132 BPH patients treated in Yingsheng Branchof Taian Central Hospital during Jan.andOct.2O23 wereretrospectively analyzed.The perioperativerelated indicators，incidenceof complications wererecorded.The international prostate symptoms （IPSS）score，maximum urine flow rate（Qmax），post voiding residual（PVR），qualityof life score（QoL），prostate-specific antigen（PSA）level，the Chinese indexof premature ejaculation score（CIPE）and international erectile function index-5 （IEF-5） score before operation，and 1，3，6 ，and l2 months after operation were analyze.ResultsThe operation time was （18.37±5.38 ）min，intraoperative blood loss （6.73±2.57）mL ，postoperative hospital stay （4.31±1.54） d，catheter indwelling time （2.45±1.27）d ，and bladder irrigation time （ （19.61±2.45）h . There were significant differences in Qmax， PVR，PSA level，QoL and IPSS before and after operation （ P<0.05） .There was no statistically significant difference in IIEF-5 and CIPE before operation and 3，6 and 12 months after operation （ P>0. 05） .The retrograde ejaculation rate remained 6.25% 3，6 and 12 months after operation.Conclusion The 450nm blue laser vaporization resection of the prostate can relieve lower urinary tract symptoms， preserve the sexual function，and improve patients’quality of life.

KEY WORDS：blue laser; vaporization resection of the prostate; sexual function； benign prostatic hyperplasia

中图分类号：R697.3 文献标志码：A DOI：10.3969/j.issn.1009-8291.2025.08.006

良性前列腺增生（benignprostatichyperplasia，BPH）临床主要表现为下尿路症状（lowerurinarytractsymptoms，LUTS），包括夜尿增多、尿频、尿急及尿流变细减弱等[1-2]。（剩余8628字）