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高雄醫師會誌97期-醫學專欄~温聖辰-攝護腺肥大手術的屠龍刀─雷射剜除手術
- 1. 65 90
1 8.65% 106 6
13.52% 60~69
7 70
8
1827
Jean Amussat
1932 McCarthy
transitional zone
peripheral zone(
) transitional zone peripheral
zone surgical capsule
transitional zone
1990
1064nm Nd:YAG (
) ablation( )
(Nd:YAG
KTP, LBO 532nm
) vaporization( )
Nd:YAG
2011
180W Greenlight XPS system
vaporesection( )
enucleation(
transitional zone
- 2. ) (Holmium)
(Thulium) (Diode)
( )
standard
procedure 70
(simple open
prostatectomy)
(0.1%)
60
80ml
TURP
>80ml
/
TURP
transitional
zone
TURP
10%(3%~14%)
7~10
/
(2%~10%) (50~70%)
(<2%)
- 3. 10
80W HPS
system 120W 2011 XPS system
(180W)
TURP
44%
12ml/s
84%
(IPSS 66%) TURP
( 80W
120W )
TURP (
80W
18%
)
180W HPS system
/
(<80ml)
Peter Gilling 1998
60W
surgical capsule
bloodless plane
100~200ml
enucleation ( )
- 4. TURP randomized
control trial
(fragmentation) (dusting)
5~10
<1% 5%
10
3.1%
4.9% TURP
TURP /
2012 HoLEP
>80ml
20~50
2012
2015
2017 7
75 HoLEP
200ml
150 ( 1 g/
ml) 73ml
36 40
18~24
TURP 2017 7
200 HoLEP
( 1900nm 2013nm)
( 980nm)
capsule
- 5. vaporesection( )
capsule
enucleation
capsule
capsule
HoLEP (ThuLEP)
(DiLEP)
DiLEP
80~100ml
80ml
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