论文部分内容阅读
目的:探讨基层医院前列腺增生并膀胱结石的微创治疗方法。方法:联合经尿道等离子双极电切与耻骨上小切口治41例前列腺增生症并膀胱结石。结果:手术时间40~110 min,平均55 min,术后3 d拔造瘘管,第5~6天拔除尿管,排尿通畅,无电切综合征(TURS)、大出血等并发症,住院时间7±1.5天。数字疼痛评分0~6,平均3.5。结论:等离子体双极电切结合耻骨上小切口是治疗前列腺增生并膀胱结石的一种快速、安全有效、微创的手术方法,值得在基层医院推广。
Objective: To explore the minimally invasive treatment of prostatic hyperplasia and bladder stones in primary hospitals. Methods: Thirty-one benign prostatic hyperplasia (BPH) and bladder stones were treated with transurethral plasma bipolar resection and suprapubic incision. Results: The operation time was 40 to 110 minutes (mean, 55 min). The fistulas were removed 3 days after operation and the catheter was removed on the 5th to 6th days. The voiding, voiding, TURS, bleeding and other complications, hospital stay 7 ± 1.5 days. Digital pain score 0 ~ 6, an average of 3.5. Conclusion: Plasma bipolar electrosurgical excision combined with suprapubic incision is a rapid, safe, effective and minimally invasive surgical method for benign prostatic hyperplasia and bladder calcification. It is worth to be popularized in primary hospitals.