晋升网极力推荐泌尿外科类优秀论文 (50)

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1、经尿道等离子剜除电切治疗前列腺增生症(附1500例报告)作者：王剑松杨德林左毅刚柯昌兴丁明霞颜汝平刘靖宇王伟石永福徐鸿毅作者单位：650101云南昆明，昆明医学院第二附属医院泌尿外科，云南省泌尿外科研究所【摘要】目的探讨经尿道等离子逆行剜除电切术治疗前列腺增生症(BPH)的方法和疗效。方法对1500例前列腺＞40g的BPH患者，直视下置入等离子电切镜，在精阜近端尿道黏膜或侧叶近精阜处点切找到增生腺体与外科包膜间隙，用镜鞘伸入该间隙，如同耻骨上前列腺摘除术时手指剥离前列腺一样推剥腺体，用电切袢快速深度挖掘式电切被剜除腺体。结果本组15

2、00例手术顺利。手术时间42～195(87±21)min。切除腺体组织30～200(76±31)g。术后6个月，国际前列腺症状评分(IPSS)为(5.9±2.3)分、最大尿流率(Qmax)为(20.2±4.3)ml/s，与术前(23.8±5.2)分、(6.7±3.4)ml/s相比明显改善(P＜0.01)。结论经尿道等离子逆行剜除电切术是治疗BPH安全有效的新方法，该方法结合了经尿道手术和开放前列腺摘除术的优点，拓宽了前列腺电切适应证。【关键词】前列腺增生症；等离子；经尿道前列腺切除；剜除TransurethralPlasmakine

3、ticRetrogradeEnucleationofProstateforTreatmentofBenignProstaticHyperplasia(Reportof1500cases)WangJiansong,YangDelin,ZuoYigang,etalDepartmentofUrology,SecondAffiliatedHospitalofKunmingMedicalCollege,UrologyInstituteofYunnanProvince,Kunming650101,China【Abstract】Objective

4、Toevaluatethesurgicaleffectandmethodoftransurethralplasmakineticretrogradeenucleationofprostate(PKRP)fortreatmentofbenignprostatichyperplasia(BPH).MethodsThetubeandwireloopoftheresectoscopewereusedtofindoutthelatentdivisionbetweenhyperplasticglandandthesurgicalenvelope

5、oftheprostatenearseminalcolliculus.Thehyperplasticglandwasenucleatedwiththetubeoftheresectoscopeasthefingerenucleatingtheglandduringsuprapubicprostatectomy,thentheenucleatedglandwasresectedquicklyanddeeplywithbipolarplasmakineticgeneration.ResultsMostofthe1500casesunde

6、rgonetheprocedurerecovereduneventfully.Operativetimewas42-195minwiththeaverageof(87±21)min,theresectedglandweighed30-200gwiththeaverageof(76±31)g.Therewerenobladderperforation,transurethralresectionsyndrome,reflectionofobturatornerveduringPKRP,exceptforcapsulaperforati

7、onof4cases.4casesneededbloodtransfusionandtherewasnodeadcaseintheintraoperativeorpostoperativetime.57caseshadshorttermurinaryincontinence,41urethralstricture,2bladderneckcontracture.Thereoccurrednosecondarybleedingorpermanenturinaryincontinenceorrecurrenceofprostatichy

8、perplasiaduringfollow-upof6-24months.Atthesixthpostoperativemonth,theIPSSandmaximumurinaryflowwere(5.9±2.3)and(20.2±4