国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2010年
14期
1725-1727
,共3页
经尿道前列腺电切术%膀胱颈挛缩%前列腺增生症
經尿道前列腺電切術%膀胱頸攣縮%前列腺增生癥
경뇨도전렬선전절술%방광경련축%전렬선증생증
Transurethral resection of prostate%Bladder neck contracture%Benign prostate hyperplasia
目的 探讨经尿道电切治疗小体积前列腺并膀胱颈挛缩的疗效.方法 对19例下尿路梗阻临床症状明确的小体积前列腺增生患者及膀胱颈挛缩的患者进行经尿道前列腺切除术(TURP)及经尿道前列腺和膀胱颈电切术(TURBN).结果 手术时间18-80min(平均36min).术中出血约20-50 ml,无输血.术后无需膀胱持续冲洗.20～44 h后拔除导尿管(平均36h).患者术中生命体征均较平稳,术中均未输血,未发生前列腺电切综合征,无同手术期死亡.随访19例,随访时间4～18月,术后1月,残余尿量由术前(226±1 9)ml降至(13.2 4±3.0)ml,IPSS由术前(21.9±3.5)分降至(7.8±2.25)分,最大尿流率由术前(7.9±2.0)ml/s升至(14.1±2.9)ml/s.尿道外口狭窄2例,海绵体部尿道狭窄1例,分别给予尿道外口切开及尿道扩张后治愈.结论 对于小体积前列腺增生合并膀胱颈挛缩患者实行TURP与TURBN相结合的方法 ,是目前安全可靠的手术途径.
目的 探討經尿道電切治療小體積前列腺併膀胱頸攣縮的療效.方法 對19例下尿路梗阻臨床癥狀明確的小體積前列腺增生患者及膀胱頸攣縮的患者進行經尿道前列腺切除術(TURP)及經尿道前列腺和膀胱頸電切術(TURBN).結果 手術時間18-80min(平均36min).術中齣血約20-50 ml,無輸血.術後無需膀胱持續遲洗.20～44 h後拔除導尿管(平均36h).患者術中生命體徵均較平穩,術中均未輸血,未髮生前列腺電切綜閤徵,無同手術期死亡.隨訪19例,隨訪時間4～18月,術後1月,殘餘尿量由術前(226±1 9)ml降至(13.2 4±3.0)ml,IPSS由術前(21.9±3.5)分降至(7.8±2.25)分,最大尿流率由術前(7.9±2.0)ml/s升至(14.1±2.9)ml/s.尿道外口狹窄2例,海綿體部尿道狹窄1例,分彆給予尿道外口切開及尿道擴張後治愈.結論 對于小體積前列腺增生閤併膀胱頸攣縮患者實行TURP與TURBN相結閤的方法 ,是目前安全可靠的手術途徑.
목적 탐토경뇨도전절치료소체적전렬선병방광경련축적료효.방법 대19례하뇨로경조림상증상명학적소체적전렬선증생환자급방광경련축적환자진행경뇨도전렬선절제술(TURP)급경뇨도전렬선화방광경전절술(TURBN).결과 수술시간18-80min(평균36min).술중출혈약20-50 ml,무수혈.술후무수방광지속충세.20～44 h후발제도뇨관(평균36h).환자술중생명체정균교평은,술중균미수혈,미발생전렬선전절종합정,무동수술기사망.수방19례,수방시간4～18월,술후1월,잔여뇨량유술전(226±1 9)ml강지(13.2 4±3.0)ml,IPSS유술전(21.9±3.5)분강지(7.8±2.25)분,최대뇨류솔유술전(7.9±2.0)ml/s승지(14.1±2.9)ml/s.뇨도외구협착2례,해면체부뇨도협착1례,분별급여뇨도외구절개급뇨도확장후치유.결론 대우소체적전렬선증생합병방광경련축환자실행TURP여TURBN상결합적방법 ,시목전안전가고적수술도경.
Objective To explore the efficacy of transurethral electrocautery resection for small-volume benign prostate hyperplasia and bladder neck contracture.Method Transurethral resection of prostate combined with transurethral electrocautery resection of bladder neck was performed on 19 patients with obvious symptoms of urinary tract obstruction due to small-volume benign prostate hyperplasia and bladder neck contracture.Results The symptoms of obstructin was effectively relieved in all the patients.Conclusion Transurethral resection of prostate combined with transurethral electrocautery resection of bladder neck is a safe,reliable surgical procedure for small-volume benign prostate hyperplasia and bladder neck contracture.
