摘要
2017年6月至2018年12月北京潞河医院泌尿外科采用铲状电极行等离子前列腺剜除术治疗良性前列腺增生患者60例,患者前列腺体积均>100 ml[(106.0±8.5)ml]。术中将腺体推入膀胱后应用组织破损器破碎吸出,手术时间(63.0±20.5)min,其中剜除腺体推入膀胱的手术时间为(46.0±11.3)min,应用组织破损器破碎吸出腺体的手术时间为(17.0±10.2)min。60例患者术中及术后均未输血,未发生经尿道前列腺电切术综合征。术后血红蛋白下降(14.0±6.2)g/L。术后膀胱冲洗8 h,尿管保留时间3~6 d;拔出尿管后4例患者出现暂时性压力性尿失禁,均在4周内恢复。术后随访6个月无真性尿失禁及尿道狭窄发生。与镜鞘摆动+电切环推剥的技术剜除腺体手术相比,铲状电极剜除技术手术时间更短、术后暂时性压力性尿失禁发生率低;铲状电极耐用不易损坏,节约医疗成本。
From June 2017 to December 2018,60 patients with large-volume prostatic hyperplasia underwent transurethral plasmakinetic enucleation of the prostate(PKEP)with shovel electrode in Luhe Hospital.During the procedure the resected glands were pushed into the bladder and the tissues were broken and sucked with STROZ Tissue Morcellator.All operations were performed successfully.The mean total operating time was(63.0±20.5)min,including(46.0±11.3)min for enucleation and(17.0±10.2)min for morcellation time.None of the 60 patients received blood transfusion perioperatively,and there was no transurethral resection prostate(TURP)syndrome.Four patients suffered the complication of transient stress urine incontinence after removed catheter,they were recovered within 4 weeks;no true urinary incontinence or urethral stricture occurred in 6 months of postoperative follow-up.Compared with the traditional technique of sheath+electric ring to enucleate the gland,the shovel electrode enucleation has shorter operation time,lower incidence of transient stress urine incontinence after operation,and reduced medical cost.
作者
蔡大伟
孔广起
Cai Dawei;Kong Guangqi(Department of Urology,Beijing Luhe Hospital,Capital Medical University,Beijing 101149,China)
出处
《中华全科医师杂志》
2020年第10期935-937,共3页
Chinese Journal of General Practitioners
基金
北京市通州区科委课题支持(KJ2018CX009)。
关键词
前列腺增生
泌尿外科手术
男性
等离子前列腺剜除术
电极
铲状
Prostatic hyperplasia
Urologic surgical procedures,male
Transurethral plasmakinetic enucleation of the prostate
Shovel electrode
