[1]张浩,司徒杰,李名钊,等.侧入路4步法经尿道前列腺等离子解剖性剜除术治疗大体积前列腺增生[J].中华腔镜泌尿外科杂志(电子版),2016,10(01):5-7.[doi:10.3877/cma.j.issn.1674-3253.2016.01.002 ]
 Zhang Hao,Situ Jie,Li Mingzhao,et al.Lateral four steps transurethral plasmakinetic enucleation and resection of the prostate for large size benign prostatic hyperplasia[J].,2016,10(01):5-7.[doi:10.3877/cma.j.issn.1674-3253.2016.01.002 ]
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侧入路4步法经尿道前列腺等离子解剖性剜除术治疗大体积前列腺增生()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
10
期数:
2016年01期
页码:
5-7
栏目:
临床研究
出版日期:
2016-04-29

文章信息/Info

Title:
Lateral four steps transurethral plasmakinetic enucleation and resection of the prostate for large size benign prostatic hyperplasia
作者:
张浩司徒杰李名钊方友强肖恒军高新庞俊
510630广州,中山大学附属第三医院泌尿外科
Author(s):
Zhang Hao Situ Jie Li Mingzhao Fang Youqiang Xiao Hengjun GaoXin Pang Jun.
Department of Urology, the Third Affiliated Hospital of Sun Yet-Sen University, Guangzhou, 510630, China
关键词:
前列腺增生前列腺切除术解剖性
DOI:
10.3877/cma.j.issn.1674-3253.2016.01.002
摘要:
目的探讨侧入路 4步法经尿道前列腺等离子解剖性剜除术治疗大体积前列腺增生的疗效及安全性。方法 2013年 1月至 2015年 5月中山大学附属第三医院泌尿外科采用侧入路 4步法经尿道前列腺等离子解剖性剜除术治疗体积 >80 ml的前列腺增生患者 90例,记录术中出血量,切除腺体体积,手术时间,对比术前术后残余尿量,最大尿流率。结果 90例均顺利完成手术。术中出血量 30~120 ml,平均( 56±21)ml;手术时间 30~100 min,平均( 60±23)min;切除腺体 50~120 g,平均( 69± 29)g。与术前经直肠前列腺超声比较,平均切除率 68.6% (62.5%~76.3%)。与术前相比,术后 3个月患者残余尿量明显减少[(83.4±25.6)ml vs(7.2±2.5)ml,P=0.017],最大尿流率明显增加[(7.4±3.2)ml/s vs(21.3±5.6)ml/s, P= 0.019], IPSS评分明显好转[(25.6± 4.3)分 vs(7.3±3.6)分 , P=0. 012]。结论侧入路 4步法经尿道前列腺等离子解剖性剜除术治疗大体积前列腺增生的疗效确切,并发症少,尤其对于外科包膜的寻找有独到优势,易于掌握,值得临床推广。

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金面上项目( 81372731)
通讯作者:庞俊,Email: pangjun530@sina.com
本文编辑:阮星星 李文标) 张浩,司徒杰,李铭钊,等.侧入路 4步法经尿道前列腺等离子解剖性剜除术治疗大体积前列腺增生[J/CD].中华腔镜泌尿外科杂志:电子版, 2016, 10(1
更新日期/Last Update: 1900-01-01