论文部分内容阅读
目的寻找一条安全有效治疗高危前列腺增生(BPH)尿潴留的办法。方法对15例高危BPH尿潴留患者经会阴部做前列腺穿刺注射无水酒精,再用双腔气囊导尿管牵引加压。结果全部患者治疗后5～7d,平均6.3d出院,均恢复了自主排尿。13例随访平均4.5年,一直能自主排尿。其中,1例出现膀胱三角区溃疡,膀胱痉挛疼痛严重,有少量血尿,给口服普鲁苯锌,环丙沙星,用2%利多卡因20ml经尿道逆行灌注入膀胱内,可缓解痉挛疼痛,15d后症状消失。结论经会阴部作前列腺穿刺,于前列腺两叶内分别注射无水酒精1ml,再用双腔气囊导尿管牵引加压,使增生的前列腺萎缩,从而通畅尿道,恢复排尿,是一种简单、安全、有效地治疗高危BPH尿潴留的一种手段。
Objective To find a safe and effective way to treat urinary retention in high-risk benign prostatic hyperplasia (BPH). Methods Fifteen patients with high-risk BPH urinary retention were injected with anhydrous alcohol through the perineum and then double-chamber balloon catheter. Results All patients were discharged from the hospital after 5 ~ 7 days and 6.3 days on average, and their spontaneous urination was resumed. 13 cases were followed up for an average of 4.5 years, has been able to urinate. Among them, 1 cases of bladder trigone ulcer, severe bladder spasm pain, a small amount of hematuria, oral procollagen, ciprofloxacin, with 2% lidocaine 20ml retrograde transurethral intravesical instillation can relieve spasm pain After 15 days, the symptoms disappeared. Conclusions The perineal prostate as the puncture in the two leaves of the prostate were injected with anhydrous alcohol 1ml, and then double-chamber balloon catheter traction pressure, the proliferation of prostatic atrophy, which patency, urination, is a simple, Safe, effective treatment of high-risk BPH urinary retention as a means.