5年来大量的临床实践和持续的跟踪调查验证了绿激光PVP手术的安全性和有效性，而且它还拥有非常高的患者满意度。
| 显著改善最大尿流率 |
| |
一年内最大尿流率改善在171%-255%
[2-5] |
| 无需长时间插管 |
| |
在美国多数病人无需插管，即使需要插管平均的插管时间仅为14小时
术后下尿路感染（UTI）率仅为2% [4] |
| 长期且稳定的长期疗效 |
| |
一年后仅有2.2%的病例由于BNC或尿道狭窄再次手术[4] |
| 比电切更低的风险 |
| |
没有电切综合症，术中无需输血，术后无需冲洗[3-8] |
| 对性功能没有影响 |
| |
0% 阳痿 [2,4,5]
术后一年仅36% 的病例发生逆行射精[4] |
| 适应人群最广 |
| |
尿潴留病人 [5-6]
腺体的大小和形态不限 [2-8]
使用抗凝剂的患者不限 [5,8] |
| 很少的刺激症状 |
| |
9% 暂时性排尿困难（10天内）
[4]
9% 暂时性的轻到中度的尿血（10天内） [4] |
 快速减轻症状，显著改善尿流率
黄金标准
在众多的BPH治疗方法中，只有PVP手术能够真正满足各方面的要求
※ 快速解除症状，疗效持久
※ 临床疗效好，副反应风险极低
※ 高安全性和高满意度
※ 易于掌握，大幅降低医生的工作强度
PVP的手术情况
可以清楚的看到术前由于前列腺增生导致尿道非常狭窄。术后立即可以看到已经形成了一个宽敞的腔道，虽然有一些絮状纤维，但这些组织很快会脱落。
术后三个月的时候形成了比术后即刻看到的腔道更为宽敞，尿道上皮细胞覆盖创面使得尿道变得非常光滑。
数据来源
[1] Stovsky MD, Laskin CR, Grif.ths RI, A clinical outcomes
and cost analysis comparing photoselective vaporization
of the prostate to alternative minimally invasive therapies
& TURP for the treatment of benign prostatic hyperplasia.
Poster presented at AUA Meeting 2005 based on abstract J
Urol (Suppl) March 2004; #393.
[2] Malek RS, Kuntzman RS, Barrett DM, High-power potassium-titanylphosphate
laser vaporization prostatectomy, J Urol. 2000;163:1730-1733.
[3] Bouchier-Hayes DM, Anderson P, Van Appleton S, Bugeja
P, A Randomised Trial Comparing Photo-Vaporisation and Trans-Urethral
Resection of the Prostate in Patients with BPH, J Urol 2005
(Suppl), 173:421, #1555.
[4] Te AE, Malloy TR, Stein BS, et al., Photoselective laser
vaporization of the prostate (PVP) for the treatment of
benign prostatic hyperplasia (BPH): 12-month Results from
the First United States Multi-center Prospective Trial.
J Urol 2004;172:1404-1408.
[5] Reich O, Bachmann A, Siebels M, Hofstetter A, Stief
CG and Sulser T, High Power (80W) Potassium-Titanyl-Phosphate
(KTP) Laser Vaporization of the Prostate in 66 High Risk
Patients, J Urol 2004;173:158-160.
[6] Bachmann A, Ruszat R, Seifert HH, Casella R, Wyler S,
Sulser T. Photoselective Vaporization of the Prostate (PVP)
in Men with Preoperative Catheterization Due to Chronic
Urinary Retention., J Urol 2005 (Suppl);173:424, #1566.
[7] Sandhu JS, Ng C, Van der Brink BA, Egan C, Kaplan SA,
Te AE, High-power potassium-titanyl-phosphate photoselective
laser vaporization of the prostate for treatment of benign
prostatic hyperplasia in men with large prostates, Urology.
2004;64:1155-1159.
[8] Malloy TR, Sandhu JS, Smith AL, Reddy B, Harryhill JF,
Kaplan SA, Te AE, Photoselective Vaporization of the Prostate
(PVP) in Anti-coagulated Patients: A Multi-Center Retrospective
Evaluation of Feasibility, J Urol 2005 (Suppl), 173:423,
#1562.
[9] Malek RS, Kuntzman RS. Photoselective vaporization of
the
prostate: 5-year experience with high power KTP laser.
J Urol. (Suppl) 2003;169:390.
[10] Reiter RE in Outcomes similar to TURP, PVP found safe,
efficacious in relieving LUTS, Edit. Mac Overmyer, Urology
Times, April 2005. |
临床特点
