徐建 胡云飞 王潇

    [摘要] 良性前列腺增生(BPH)是导致膀胱出口梗阻(BOO)的最重要原因。手术切除增生腺体是解除梗阻症状的主要治疗原则，由于经尿道前列腺电切术(TURP)术后并发症高，激光已经成为TURP的替代治疗方案。自20世纪90年代初，利用激光凝固及消融技术治疗BPH，532 nm激光(俗称绿激光)汽化术广泛应用于临床，钬激光剜除术在随机对照实验中体现出持久的疗效。然而，一些新的激光，如铥激光、半导体激光，仍需进一步的长期数据研究。本研究主要评估常用激光技术的疗效及副作用。

    [关键词] 良性前列腺增生；激光技术；钬激光；绿激光；铥激光；半导体激光

    [中图分类号] R69 [文献标识码] A [文章编号] 1673-7210(2016)12(c)-0085-04

    [Abstract] Benign prostatic hyperplasia (BPH) is the predominant cause of bladder outflow obstruction. Surgical removal of adenoma has been a key treatment principle for alleviation of obstruction. Lasers have been used as an alternative to transurethral resection of the prostate (TURP)， due to the higher complications of the latter procedure. Since the early 1990s， lasers utilized coagulative and ablative techniques in the treatment of BPH. Ablative techniques have remained popular with the resurgence of 532 nm vaporization (commonly known as Green Light). Enucleation techniques especially with the holmium laser have shown durable efficacy in randomized controlled trials whilst new modalities such as thulium and semiconductor laser still require longterm data. This research mainly evaluate curative effect and side effect of the commonly used laser technology. ......