相关实验视频

Updated: Jul 23, 2025

Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser

Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser

Published on: May 9, 2018

使用"技术"进行的thulium前列腺切除术与通过尿道前列腺切除术 (TURP) 的结果:随机对照试验

Dimitrios Kotsiris^1,2, Vasileios Tatanis¹, Angelis Peteinaris¹

¹Department of Urology, University Hospital of Patras, Patras, Greece.

World journal of urology

|July 14, 2023

概括

使用Tm-YAG激光治疗良性前列腺增生症的Oyster技术提供了与传统手术类似的结果,但手术,住院和导管时间更短. 这种激光蒸发切割是治疗下泌尿道症状的有希望的替代方案.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
最少侵入性的手术
激光技术在医学中的应用

背景情况:

良性前列腺增生 (BPH) 是一种常见的疾病,导致下泌尿道症状 (LUTS).
过尿道前列腺切除术 (TURP) 是一种标准的手术治疗方法,但正在寻求替代方法来改善结果并减少发病率.
技术使用图:YAG (Tm:YAG) 激光蒸发切割作为传统 TURP 的潜在替代方案.

研究的目的:

为了比较Tm:YAG激光蒸发切除 (技术) 与常规单极 TURP 的术前和术后结果.
以国际前列腺症状评分 (IPSS) 的降低和最大流速 (Qmax) 的改善来评估疗效.
评估二次结果,包括并发症率,住院时间和导管时间.

主要方法:

一项随机对照试验,涉及LUTS患者和前列腺体积≥60毫升的患者.
患者被分配到Tm:YAG激光蒸发切除 (第一组) 或单极 TURP (第二组) 中.
主要终点:IPSS减少和Qmax增加. 二级终点:血红蛋白下降,并发症,泌尿动力学,住院治疗,导管治疗,以及24个月的IIEF分数.

主要成果:

这两种技术在IPSS和Qmax中都显示出可比的改善.
Tm:YAG激光蒸发切割导致明显缩短的手术时间 (p=0.002) 和住院时间 (p=0.004).
用Tm:YAG激光 (2.06天对2.5天,p=0.003) 进行导管治疗的持续时间较短,整体并发症率较低 (6.2%对13.3%).

结论:

技术 (Tm:YAG激光蒸发切除) 提供了与BPH标准单极 TURP可比的术后疗效.
较短的手术,住院和导管时间是技术的重要优势.
Tm:YAG激光蒸发切除代表了管理BPH的有利替代方案,可能改善患者的康复.

关键词:

一个的.前列腺蒸汽切割是什么进行前列腺切除术.图 (Tulium) 是一种体.

更多相关视频

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

Published on: May 12, 2023

Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate HoLEP.

Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate HoLEP.

Published on: March 6, 2018

相关概念视频

Urologic Endoscopic Procedure: Cystoscopic Examination

Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...

Urinary Tract Calculi VI: Surgical Management

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...