用新的脉冲固态图:YAG激光 (Thulio) 进行前列腺内核检查的现实世界经验
Maximilian Ferry von Bargen1, M Glienke2, S Tonyali2,3
1Department of Urology, Faculty of Medicine, University of Freiburg - Medical Centre, Hugstetter Str. 55, 79106, Freiburg, Germany. maximilian.vonbargen@uniklinik-freiburg.de.
World journal of urology
|August 2, 2024
概括
新的脉冲图激光器 (Tm:YAG) 通过前列腺内核化 (EEP) 为良性前列腺增生 (BPH) 提供了安全有效的治疗方法. 这种新的激光显示出有希望的短期和长期结果,高患者满意度.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 激光手术 激光手术是一种激光手术.
- 良性前列腺增生症 (BPH) 管理
背景情况:
- 霍尔激光器是前列腺内镜取核 (EEP) 的标准.
- 固态图:YAG (Tm:YAG) 激光器由于高峰功率而呈现出一种新的替代方案.
- 这项研究研究了一种新的脉冲Tm:YAG激光在最初的人类应用中.
研究的目的:
- 评估用于EEP的新型脉冲Tm:YAG激光器的疗效和安全性.
- 评估Tm:YAG激光EEP后的短期和长期功能结果.
- 为了确定与这种新激光技术相关的患者满意度和并发症率.
主要方法:
- 对第一批103名用脉冲Tm:YAG激光进行EEP的患者进行了回顾性分析.
- 对术前和术后数据的评估,包括并发症分级 (Clavien-Dindo分类).
- 15个月的后续访谈以评估功能结果和患者满意度.
主要成果:
- 平均前列腺体积为105.6毫升;中位数核化速度为4.1g/分钟.
- 20.4%的人经历了短期并发症,没有高度事件 (CDC ≥ IV).
- 报告的患者满意度高 (96.1%),在15个月后,尿 (54.0%) 和尿流 (93.4%) 显著改善.
结论:
- 新的脉冲Tm:YAG激光器是手术BPH治疗的安全有效选择.
- 激光显示了有利的短期和长期结果,包括高患者满意度.
- 低并发症率表明Tm:YAG激光EEP的安全性很好.
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