-
摘要: 良性前列腺增生(BPH)是中、老年男性的常见疾病,也是引起下尿路症状的常见原因。目前主要治疗方法是观察等待、药物治疗、外科手术治疗,其中手术干预能快速缓解下尿路症状,提高生活质量而成为治疗中、重度BPH最有效的手段。近年来,随着各种激光技术的飞速发展及临床应用,被认为是“金标准”的经尿道前列腺电切术因较多的手术并发症及治疗大体积前列腺的局限性而饱受争议;各种激光技术也因其明显的治疗效果、安全性及并发症较少的优势,逐渐获得临床医生的青睐。本文主要介绍半导体激光微创技术治疗BPH的临床研究进展,期望在一定程度上为医生的临床治疗提供相关的理论依据。Abstract: Benign prostatic hyperplasia(BPH) is a common disease that is a major factor of low urinary tract symptoms in old men. The managements of BPH include watchful waiting, medical treatment and surgical intervention. However, surgical treatment which can rapidly relieve low urinary tract symptoms and improve the quality of life is the most effective method to cure moderate-to-severe BPH. With the rapid development and clinical application of all kinds of lasers in recent years, transurethral resection of the prostate considered as a gold standard treatment of BPH poses serious concerns because of more surgical morbidity and limitations in large volume prostates. Lasers with excellent advantages regarding surgical effects, safety, and less morbidity are widely acknowledged by clinical doctors. The aim of the review is to perform the advance in the management of BPH with diode lasers and provide fundamental theory for doctors to solve clinical problems to some extent.
-
Key words:
- diode laser /
- benign prostatic hyperplasia
-
[1] Mithani MH,Khalid SE,Khan SA,et al.Outcome of 980 nm diode laser vaporization for benign prostatic hyperplasia:A prospective study[J].Investig Clin Urol,2018,59(6):392-398.
[2] 江东根,庞俊,肖楚天,等.经尿道1470 nm激光与等离子前列腺剜除术治疗良性前列腺增生症的前瞻性随机对照研究[J].临床泌尿外科杂志,2017,32(12):908-911.
[3] de Lucia C,Femminella GD,Rengo G,et al.Risk of acute myocardial infarction after transurethral resection of prostate in elderly[J].BMC Surg,2013,13 Suppl 2:S35.
[4] Gratzke C,Bachmann A,Descazeaud A,et al.EAU Guidelines on the Assessment of Non-neurogenic Male Lower Urinary Tract Symptoms including Benign Prostatic Obstruction[J].Eur Urol,2015,67(6):1099-1109.
[5] Mandeville J,Gnessin E,Lingeman JE.New advances in benign prostatic hyperplasia:laser therapy[J].Curr Urol Rep,2011,12(1):56-61.
[6] Seitz M,Bayer T,Ruszat R,et al.Preliminary evaluation of a novel side-fire diode laser emitting light at 940 nm,for the potential treatment of benign prostatic hyperplasia:ex-vivo and in-vivo investigations[J].BJU Int,2009,103(6):770-775.
[7] Skinner T,Leslie RJ,Steele SS,et al.Randomized,controlled trial of laser vs.bipolar plasma vaporization treatment of benign prostatic hyperplasia[J].Can Urol Assoc J,2017,11(6):194-198.
[8] Rapisarda S,Russo GI,Osman NI,et al.The use of laser as a therapeutic modality as compared to TURP for the small prostate ≤40 mL:a collaborative review[J].Minerva Urol Nefrol,2019,71(6):569-575.
[9] Zhang X,Shen P,He Q,et al.Different lasers in the treatment of benign prostatic hyperplasia:a network meta-analysis[J].Sci Rep,2016,6:23503.
[10] 杨国胜,陈波特,李环辉.国内良性前列腺增生激光治疗的应用、创新与优化[J].临床泌尿外科杂志,2017,32(4):245-249.
[11] Xiao KW,Zhou L,He Q,et al.Transurethral endoscopic enucleation of the prostate using a diode laser versus bipolar plasmakinetic for benign prostatic obstruction:a meta-analysis[J].Lasers Med Sci,2020,35(5):1159-1169.
[12] Gu C,Zhou N,Gurung P,et al.Lasers versus bipolar technology in the transurethral treatment of benign prostatic enlargement:a systematic review and meta-analysis of comparative studies[J].World J Urol,2020,38(4):907-918.
[13] Dolowy A,Krajewski W,Dembowski J,et al.The role of lasers in modern urology[J].Cent European J Urol,2015,68(2):175-182.
[14] Tan X,Zhang X,Li D,et al.Transurethral vaporesection of prostate:diode laser or thulium laser?[J].Lasers Med Sci,2018,33(4):891-897.
[15] 刘多,范利,刘成,等.经尿道半导体激光前列腺剜除术与前列腺电切术治疗不同体积良性前列腺增生的临床对比分析[J].中华男科学杂志,2017,23(3):217-222.
[16] Staehler G,Hofstetter A,Gorisch W,et al.Endoscopy in experimental urology using an argon-laser beam[J].Endoscopy,1976,8(1):1-4.
[17] Wendt-Nordahl G,Huckele S,Honeck P,et al.980-nm Diode laser:a novel laser technology for vaporization of the prostate[J].Eur Urol,2007,52(6):1723-1728.
[18] Zou Z,Xu A,Zheng S,et al.Dual-centre randomized-controlled trial comparing transurethral endoscopic enucleation of the prostate using diode laser vs.bipolar plasmakinetic for the treatment of LUTS secondary of benign prostate obstruction:1-year follow-up results[J].World J Urol,2018,36(7):1117-1126.
[19] Razzaghi MR,Mazloomfard MM,Mokhtarpour H,et al.Diode laser(980 nm)vaporization in comparison with transurethral resection of the prostate for benign prostatic hyperplasia:randomized clinical trial with 2-year follow-up[J].Urology,2014,84(3):526-532.
[20] Yang SS,Hsieh CH,Lee YS,et al.Diode laser(980 nm)enucleation of the prostate:a promising alternative to transurethral resection of the prostate[J].Lasers Med Sci,2013,28(2):353-360.
[21] Tanaka EY,Barbosa FT,Murta CB,et al.Diode Laser Vaporization for Benign Prostate Hyperplasia:Outcome After 126 Procedures[J].J Endourol,2019,33(12):1025-1031.
[22] Leonardi R.Preliminary results on selective light vaporization with the side-firing 980 nm diode laser in benign prostatic hyperplasia:an ejaculation sparing technique[J].Prostate Cancer Prostatic Dis,2009,12(3):277-280.
[23] Kim Y,Seong YK,Kim IG,et al.Twelve-Month Follow-up Results of Photoselective Vaporization of the Prostate With a 980-nm Diode Laser for Treatment of Benign Hyperplasia[J].Korean J Urol,2013,54(10):677-681.
[24] Huang L,Fan Y,Xiong N,et al.Evaluation of photoselective vaporization of the prostate with 980-nm diode laser in the treatment of benign prostatic hyperplasia:36-month follow up[J].Int J Urol,2019,26(9):940-941.
[25] Cetinkaya M,Onem K,Rifaioglu MM,et al.980-Nm Diode Laser Vaporization versus Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia:Randomized Controlled Study[J].Urol J,2015,12(5):2355-2361.
[26] Pillai RG,Al Naieb Z,Angamuthu S,et al.Diode laser vaporisation of the prostate vs.diode laser under cold irrigation:A randomised control trial[J].Arab J Urol,2014,12(4):245-250.
[27] Hruby S,Sieberer M,Schatz T,et al.Eraser laser enucleation of the prostate:technique and results[J].Eur Urol,2013,63(2):341-346.
[28] Wezel F,Wendt-Nordahl G,Huck N,et al.New alternatives for laser vaporization of the prostate:experimental evaluation of a 980-,1,318- and 1,470-nm diode laser device[J].World J Urol,2010,28(2):181-186.
[29] Lusuardi L,Myatt A,Sieberer M,et al.Safety and efficacy of Eraser laser enucleation of the prostate:preliminary report[J].J Urol,2011,186(5):1967-1971.
[30] Seitz M,Reich O,Karl A,et al.Diode laser treatment of human prostates-Clinical 6-month experience[J].Medical Laser Application,2008,22(4):232-237.
[31] Zhao Y,Liu C,Zhou G,et al.A retrospective evaluation of benign prostatic hyperplasia treatment by transurethral vaporization using a 1470 nm laser[J].Photomed Laser Surg,2013,31(12):626-629.
[32] 章俊,王曦龙,史朝亮,等.1470 nm半导体激光前列腺汽化剜除术治疗复杂性良性前列腺增生(附80例报告)[J].现代泌尿外科杂志,2017,22(3):173-175,180.
[33] Zhang J,Wang X,Zhang Y,et al.1470 nm Diode Laser Enucleation vs Plasmakinetic Resection of the Prostate for Benign Prostatic Hyperplasia:A Randomized Study[J].J Endourol,2019,33(3):211-217.
计量
- 文章访问数: 343
- PDF下载数: 745
- 施引文献: 0