论文部分内容阅读
目的探讨等离子体双极电切镜剜除术治疗BPH及BPH并发膀胱结石钬激光碎石经验。方法回顾经尿道等离子体剜除治疗BPH196例及28例合并膀胱结石患者应用钬激光碎石的临床资料。结果手术操作45～160min,术中出血量平均80ml。切除前列腺组织25～120g,平均60g。无1例输血、无TURS发生,无外科包膜损伤。术后排尿通畅,出现暂时性尿失禁8例,无真性尿失禁。无继发性出血及膀胱感染。随访1～6个月,患者IPSS评分7～12分,平均9.5分。B超检查无残余结石及残余尿。结论等离子体前列腺剜除术具有手术时间短、出血少、不复发,不发生TURS等优点。应用电切镜外鞘输尿管镜钬激光具有碎石取石效率高、损伤小、操作方便等优点。
Objective To investigate the experience of bipolar plasmaphotonotectomy in the treatment of holmium laser lithotripsy of BPH and BPH complicated with bladder stones. Methods The clinical data of 196 cases of BPH treated by urethral plasma excision and 28 cases of bladder stones combined with holmium laser lithotripsy were retrospectively reviewed. The results of surgical operation 45 ~ 160min, intraoperative bleeding average 80ml. Excision of prostate tissue 25 ~ 120g, an average of 60g. No transfusion, no TURS, no surgical capsule injury. Urination after surgery, there were 8 cases of temporary urinary incontinence, true urinary incontinence. No secondary bleeding and bladder infection. The patients were followed up for 1 to 6 months, with IPSS score of 7 to 12, with an average of 9.5 points. B ultrasound no residual stones and residual urine. Conclusions Plasma prostatectomy has the advantages of short operation time, less bleeding, no relapse and no TURS. Application of resectoscope sheath ureteroscope holmium laser lithotripsy with high efficiency, less damage, easy operation and so on.