临床特点|
显著改善最大尿流率
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一年内最大尿流率改善在171%-255% [2-5] |
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无需长时间插管
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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] |
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长期且稳定的长期疗效
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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.