Advances in laser treatment of benign prostatic hyperplasia
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摘要: 良性前列腺增生（BPH）作为一种常见的中老年男性泌尿外科疾病，伴随着我国人口老龄化的加重，BPH的发病率也在不断增多。伴随微创泌外的发展，越来越多的激光技术，应用于BPH的临床治疗。本文对各种激光在BPH的治疗中的应用、疗效、术后并发症等问题进行综述。Abstract: BPH as a common urological disease in older men, along with the aggravation of China's aging population, the incidence of BPH is also increasing. With the development of minimally invasive surgery in clinaical urology, the growing number of laser technology has been used in clinical treatment of BPH. In this article, the various laser application in the treatment of BPH, efficacy, complications and other issues were reviewed.
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Key words:
- benign prostatic hyperplasia /
- laser treatment /
- green laser /
- holmium laser /
- 2 μm laser /
- semiconductor laser
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表 1 不同激光的物理参数
名称 波长（nm） 穿透深透（mm） KTP/LBO 532 0.8 Diode 940,980,1318,1470 0.5~5 Nd:YAG 1064 10 Holmium 2100 0.4 Thulium 1940/2013 0.2 
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[1] 吴阶平. 吴阶平泌尿外科学[M]. 济南: 山东科学技术出版社, 2005: 1127-8. [2] Tascı AI, Ilbey YO, Tugcu V, et al. Transurethral resection of the prostate with monopolar resectoscope: single-surgeon experience and long-term results of after 3589 procedures[J]. Urology, 2011, 78(5): 1151-5. doi: 10.1016/j.urology.2011.04.072 [3] Liu CL, Ouyang Y, Guo JJ, et al. Follow-up observation of photoselective vaporization of prostate for treatment of benign prostatic hyperplasia within five years[J]. Zhonghua Wai Ke Za Zhi, 2013, 51(2): 115-8. http://cn.bing.com/academic/profile?id=2418379886&encoded=0&v=paper_preview&mkt=zh-cn [4] Kang HW. Characterization on ablation performance of various surgical fibers[J]. Lasers Med Sci, 2014, 29(1): 273-7. doi: 10.1007/s10103-013-1325-2 [5] Lee WC, Lin YH, Hou CP, et al. Prostatectomy using different lasers for the treatment of benign prostate hyperplasia in aging males[J]. Clin Interv Aging, 2013, 8: 1483-8. https://www.ncbi.nlm.nih.gov/pubmed/24255595 [6] Bach T, Muschter R, Sroka R, et al. Laser treatment of benign prostatic obstruction: basics and physical differences[J]. Eur Urol, 2012, 61(2): 317-25. doi: 10.1016/j.eururo.2011.10.009 [7] Park JH, Son H, Paick JS. Comparative analysis of the efficacy and safety of photoselective vaporization of the prostate for treatment of benign prostatic hyperplasia according to prostate size[J]. Korean J Urol, 2010, 51(2): 115-21. doi: 10.4111/kju.2010.51.2.115 [8] Benejam-Gual JM, Sanz-Granda A, Budía A, et al. Multicenter study on costs associated with two surgical procedures: GreenLight XPS 180 W versus the Gold standard transurethral resection of the prostate[J]. Actas Urol Esp, 2014, 38(6): 373-7. doi: 10.1016/j.acuro.2013.10.011 [9] Benejam-Gual JM, Sanz-Granda A, Budía A, et al. Functional results 1 year after laser vaporization of the prostate: the impact of age[J]. J Endourol, 2009, 23(8): 1339-42. doi: 10.1089/end.2008.0649 [10] Bouchier-Hayes DM, Van Appledorn S, Bugeja P, et al. A randomized trial of photoselective vaporization of the prostate using the 80-W potassium-titanyl-phosphate laser vs transurethral prostatectomy, with a 1-year follow-up[J]. BJU Int, 2010, 105(7): 964-9. doi: 10.1111/bju.2010.105.issue-7 [11] Capitan C, Bldzquez C, Martin MD, et al. Greenlight HPS120-W laser vaporization versus transurethral resection of the prostate for the treatment of lower urinary tract symptoms due to prostatic hyperplasia: a randomized clinical trial with 2--year follow-up[J]. Eur Urol, 2011, 60(4): 734-9. doi: 10.1016/j.eururo.2011.05.043 [12] 陈有波. 经尿道汽化电切与激光治疗前列腺增生的临床对比研究[J]. 中国医药指南, 2012, 10(24): 149-50. http://www.cnki.com.cn/Article/CJFDTOTAL-YYXK201224109.htm [13] Spaliviero M, Strom KH, Gu X, et al. Does greenlight HPS(TM) laser photoselective vaporization prostatectomy affect sexual function?[J]. J Endourol, 2010, 24(12): 2051-7. doi: 10.1089/end.2010.0296 [14] Gu X, Vricella GJ, Spaliviero M, et al. Does size really matter? The impact of prostate volume on the efficacy and safety of GreenLight HPS TM laser photoselective vaporization of the prostate[J]. J Endourol, 2012, 26(5): 525-30. doi: 10.1089/end.2011.0457 [15] Gnessin E, Mandeville JA, Lingeman JE. An update on Holmium laser enucleation of the prostate and why it has stood the test of time[J]. Curr Opin Urol, 2011, 21(1): 31-5. doi: 10.1097/MOU.0b013e32834120d7 [16] 赵春雷, 姜庆, 郑昌建, 等. 钬激光剜除术治疗良性前列腺增生症疗效及安全性的Meta分析[J]. 激光杂志, 2012, 33(5): 56-8. http://www.cnki.com.cn/Article/CJFDTOTAL-JGZZ201205031.htm [17] Sun N, Fu Y, Tian T, et al. Holmium laser enucleation of the prostate versus transurethral resection of the prostate: a randomized clinical trial[J]. Int Urol Nephrol, 2014, 46(7): 1277-82. doi: 10.1007/s11255-014-0646-9 [18] Kumar SM. Rapid communication: Holmium laser ablation of large prostate glands: an endourologic alternative to open prostatectomy[J]. J Endourol, 2007, 21(6): 659-62. doi: 10.1089/end.2006.0283 [19] Helfand BT, Manvar AM, Auffenberg GB, et al. Holmium laser ablation and enucleation of the prostate: a pilot study of the hybrid technique[J]. Can J Urol, 2010, 17(3): 5190-4. https://www.ncbi.nlm.nih.gov/pubmed/20566012 [20] Xia SJ. Two-micron (Thulium) laser resection of the prostate-tangerine technique: a new method for BPH treatment[J]. Asian J Androl, 2009, 11(3): 277-81. doi: 10.1038/aja.2009.17 [21] Si J, Gu B, Yu J, et al. The RevoLix 2 micron continuous wave laser vaporesection for the treatment of high-risk patients with benign prostatic hyperplasia[J]. Photomed Laser Surg, 2011, 29(2): 105-7. doi: 10.1089/pho.2009.2748 [22] Fu WJ, Zhang X, Yang Y, et al. Comparison of 2-microm continuous wave laser vaporesection of the prostate and transurethral resection of the prostate: a prospective nonrandomized trial with 1-year follow-up[J]. Urology, 2010, 75(1): 194-9. doi: 10.1016/j.urology.2009.07.1266 [23] Szlauer R, Götschl R, Razmaria A, et al. Endoscopic vaporesection of the prostate using the continuous-wave 2-microm Thulium laser: outcome and demonstration of the surgical technique[J]. Eur Urol, 2009, 55(2): 368-75. doi: 10.1016/j.eururo.2008.10.034 [24] Xia SJ, Zhuo J, Sun XW, et al. Thulium laser versus standard transurethral resection of the prostate: a randomized prospective trial[J]. Eur Urol, 2008, 53(2): 382-9. doi: 10.1016/j.eururo.2007.05.019 [25] Yang Z, Wang X, Liu T. Thulium laser enucleation versus plasmakinetic resection of the prostate: a randomized prospective trial with 18-month follow-up[J]. Urology, 2013, 81(2): 396-400. doi: 10.1016/j.urology.2012.08.069 [26] Lacono F, Prezioso D, Di Lauro G, et al. Efficacy and safety profile of a novel technique, ThuLEP(Thulium laser enucleation of the prostate)for the treatment of benign prostate hypertrophy. Our experience on 148 patients[J]. BMC Surg, 2012: S21. https://www.researchgate.net/profile/Antonio_Ruffo/publication/233766028_Efficacy_and_safety_profile_of_a_novel_technique_ThuLEP_Thulium_laser_enucleation_of_the_prostate_for_the_treatment_of_benign_prostate_hypertrophy_Our_experience_on_148_patients/links/0deec524b4a998571f000000.pdf?inViewer=0&pdfJsDownload=0&origin=publication_detail [27] Zhang F, Shao Q, Herrmann TR, et al. Thulium laser versus Holmium laser transurethral enucleation of the prostate: 18-month follow-up data of a single center[J]. Urology, 2012, 79(4): 869-74. doi: 10.1016/j.urology.2011.12.018 [28] Herrmann TR, Bach T, Imkamp F, et al. Thulium laser enucleation of the prostate (ThuLEP): transurethral anatomical prostatectomy with laser support. Introduction of a novel technique for the treatment of benign prostatic obstruction[J]. World J Urol, 2010, 28(1): 45-51. doi: 10.1007/s00345-009-0503-0 [29] 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): 181-6. doi: 10.1007/s00345-009-0499-5 [30] Ustinov DV, Kholtobin DP, Kul'chavenia EV, et al. The use of laser vaporization for the treatment of benign prostatic hyperplasia[J]. Urologiia, 2013(4): 74-6, 78-9. http://en.cnki.com.cn/article_en/cjfdtotal-ynyy200606005.htm [31] 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): 353-60. doi: 10.1007/s10103-011-1046-3 [32] 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): 677-81. doi: 10.4111/kju.2013.54.10.677 [33] Liu J, Kang SS, Zhang XJ, et al. 980 nm diode laser vaporization for benign prostatic hyperplasia[J]. Zhonghua Nan Ke Xue, 2013, 19(5): 422-4. http://cn.bing.com/academic/profile?id=2352343019&encoded=0&v=paper_preview&mkt=zh-cn [34] Clemente Ramos LM. High power 980 nm diode laser: preliminary results in the treatment of benign prostatic hyperplasia[J]. Arch Esp Urol, 2009, 62(2): 125-30. http://cn.bing.com/academic/profile?id=2413741838&encoded=0&v=paper_preview&mkt=zh-cn [35] 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): 626-9. doi: 10.1089/pho.2013.3504 [36] Seitz M, Sroka R, Gratzke C, et al. The diode laser: a novel side-firing approach for laser vaporisation of the human prostate--immediate efficacy and 1-year follow-up[J]. Eur Urol, 2007, 52(6): 1717-22. doi: 10.1016/j.eururo.2007.06.028 [37] Beltrami P, Guttilla A, Fumo G, et al. Treating cervico-urethral obstructions with laser diode: initial clinical experience[J]. Urologia, 2012, 79(Suppl 19): 58-66. http://www.academia.edu/13238717/Treating_cervico-urethral_obstructions_with_laser_diode_initial_clinical_experienceTreating_cervico-urethral_obstructions_with_laser_diode_initial_clinical_experience [38] Chen CH, Chiang PH, Lee WC, et al. High-intensity diode laser in combination with bipolar transurethral resection of the prostate: a new strategy for the treatment of large prostates (>80 ml)[J]. Lasers Surg Med, 2012, 44(9): 699-704. doi: 10.1002/lsm.v44.9 -
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