【摘 要】
：
目的 探讨经尿道1470nm双效能激光前列腺剜除+膀胱腔内组织粉碎术治疗良性前列腺增生症(BPH)的方法和近期疗效.方法 16例＞40g的BPH患者,在左侧叶(或右侧叶)与中叶交界的沟槽近精阜处,用镜鞘直接推剥左侧叶(或右侧叶)尖部或点切加逆推的方式找到外科包膜平面,镜鞘伸入增生腺体与外科包膜之间的间隙推剥少部分腺体,再用镜鞘向右(或左)横剥显露中叶与精阜的纤维连接带,直射光纤汽化切断,推剥部分中
【机 构】
：
昆明医科大学第二附属医院泌尿外科一区 650101
【出 处】
：
第十三届亚洲泌尿外科学会年会(UAA2015)、第二十二届全国泌尿外科学术会议(CUA2015)、第十六届全军及武警泌尿
论文部分内容阅读
目的 探讨经尿道1470nm双效能激光前列腺剜除+膀胱腔内组织粉碎术治疗良性前列腺增生症(BPH)的方法和近期疗效.方法 16例＞40g的BPH患者,在左侧叶(或右侧叶)与中叶交界的沟槽近精阜处,用镜鞘直接推剥左侧叶(或右侧叶)尖部或点切加逆推的方式找到外科包膜平面,镜鞘伸入增生腺体与外科包膜之间的间隙推剥少部分腺体,再用镜鞘向右(或左)横剥显露中叶与精阜的纤维连接带,直射光纤汽化切断,推剥部分中叶,以中叶的外科包膜为参考面,推剥出右侧叶近精阜处腺体.直射光纤汽化侧叶与中叶交界处腺体,深达包膜,推剥中叶至膀胱腔内,在包膜面妥善止血.以侧叶近精阜处已推剥显露的平面为参考推剥左侧叶至1点处,右侧叶至11点处,汽化11点-1点腺体,距外括约肌lcm左右打断粘连带,将已剥离的左、右侧叶推入膀胱腔.放入HAWK公司组织刨削粉碎系统,粉碎已剜除的腺体.果16例手术顺利.增生腺体剜除时间(31±17) min,组织粉碎时间(12±7) min,术中无电切综合征、直肠穿孔、膀胱穿孔发生,术中术后无大出血病例,无尿失禁与排尿困难病例.术后国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)、残余尿量(RUV)均较术前明显改善(P＜0.01).论经尿道1470nm双效能激光前列腺剜除+膀胱腔内组织粉碎术治疗BPH,既能切净增生腺体,又能快速妥善止血,还能降低并发症,是一种颇具发展前途的设备与技术.
其他文献
Introduction:Overactive bladder syndrome (OAB) is a very common problem but not all patients respond well to oral medication therapy.Percutaneous tibial nerve stimulation (PTNS) therapy has been propo
目前乳酸脱氢酶对泌尿系肿瘤患者的预后作用仍然不清,因此,我们就乳酸脱氢酶对泌尿系肿瘤患者的预后的重要性做了meta分析.我们检索了PubMed,Embase,Springer和中国知网等数据库中有关乳酸脱氢酶对泌尿系肿瘤患者预后作用的文献.采用Newcastle-Ottawa Scale质量评价量表对纳入文献进行质量评价,提取了关于预后的相关数据.采取亚组分析的方式探讨了异质性以及偏倚.应用Rev
The Royal Australasian College of Surgeons (RACS) via the Pacific Island Program (PIP) administer yearly Urology visits to Vanuatu to perform surgery and deliver training in the management of Urologic
Klebsiella pneumoniae is a common cause of solid organ abscess in immunocompromised patients.Endogenous endophthalmitis is a well-known complication of Klebsiella associated liver abscess.However, the
Introduction and Objective: The key issue in TURBt is how to complete endoscopic removal of bladder tumor and preserve bladder integrity.Residual tumor is further degenerated by coagulating current in
Primary aldosteronism (PA) is one of the few surgically curable causes of hypertension.PA is usually caused by aldosterone-secreting adenomas (APA) in the unilateral or bilateral adrenal gland.A recen
Introduction and Objectives: The feasibility oftransvaginal natural orifice translumenal endoscopic surgery (NOTES) has already been demonstrated in urology.However, the experience is limited.We aimed
Cancer of prostate is a heterogeneous disease that various factors include age, history of ethics and family,hormones, diet and lack of genetic compounds are effective factors for this disease.CYP1A1
背景与目的:肾部分切除术已经成为T1a期肾癌的标准手术方式,而对于T1b期肾癌只要技术可行,肾部分切除术较肾癌根治术病人也获利更多.随着各国指南不再强调肿瘤切缘的宽度,紧贴肾肿瘤假包膜外侧的肾肿瘤剜切术,除了可以依靠清晰可见的肿瘤轮廓作为解剖标记外还可以保留更多的正常肾组织而越来越受到各国医生的青睐.本研究比较常规的腹腔镜肾部分切除术和腹腔镜肾肿瘤剜切术治疗T1期肾癌在围手术期手术效果、肿瘤根治和
In the iliac surgery, especially in the gynecologic surgery, there is always the possibility that ureteral injuries will occur intraoperatively.Traditionally, ureteral injuries are treated by laparoto