[1]李茂胤 林剑峰 王德娟 黄文涛 胡成 李科 钟文文 邱剑光.12 mm曲卡行膀胱造瘘在经尿道前列腺剜除术中的应用[J].中华腔镜泌尿外科杂志(电子版),2014,(06):397-401.[doi:10.3877/cma.j.issn.1674-3253.2014.06.002 ]
 Li Maoyin*,Lin Jianfeng,Wang Dejuan,et al.The role of a 12 mm trocar cystostomy in transurethral enucleation and resection of prostate[J].,2014,(06):397-401.[doi:10.3877/cma.j.issn.1674-3253.2014.06.002 ]
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12 mm曲卡行膀胱造瘘在经尿道前列腺剜除术中的应用()
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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:
期数:
2014年06期
页码:
397-401
栏目:
临床研究
出版日期:
2014-12-31

文章信息/Info

Title:
The role of a 12 mm trocar cystostomy in transurethral enucleation and resection of prostate
作者:
李茂胤 林剑峰 王德娟 黄文涛 胡成 李科 钟文文 邱剑光
510630广州,中山大学附属第三医院泌尿外科(李茂胤、王德娟、黄文涛、胡成、李科、钟文文、邱剑光); 361100厦门,福建中医药大学附属厦门市第三医院泌尿外科(林剑峰)
Author(s):
Li Maoyin* Lin Jianfeng Wang Dejuan Huang Wentao Hu Cheng Li Ke Zhong Wenwen Qiu Jianguang.
Department of Urology, the Third Affliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
关键词:
前列腺增生前列腺切除术膀胱造瘘
DOI:
10.3877/cma.j.issn.1674-3253.2014.06.002
摘要:
目的 探讨 12 mm曲卡行膀胱造瘘制造低压膀胱在经尿道前列腺剜除术中的安全性和有效性。方法 回顾性分析 2012年至 2014年中山大学附属第三医院泌尿外科经尿道前列腺剜除术治疗前列腺增生患者 35例,其中行膀胱造瘘者 20例(造瘘组),未行造瘘者 15例(对照组)。总结分析两组的年龄、性别、体重、麻醉 ASA分级、前列腺体积、术前 PSA、术中血红蛋白下降值、手术时间、术中中心静脉压、输血率、术后膀胱冲洗时间、留置导尿时间和术后住院时间。造瘘组记录膀胱造瘘管留置时间。结果 两组的年龄、性别、体重和术前 PSA均无统计学差异;造瘘组术前前列腺体积45~249 ml,平均( 107±52)ml,对照组术前前列腺体积 24~126 ml,平均( 65±31)ml(t=2.92,P<0.05);麻醉 ASA分级( Ⅱ/Ⅲ)分别为 7/13和 14/1(χ2=9.84,P<0.05)。35例手术均顺利完成。造瘘组和对照组术中平均中心静脉压分别为( 4.7±2.6)cmH2O和( 7.6±4.2)cmH2O(t=2.56,P<0.05);留置导尿时间分别为 112.9(64.2)h和 184.5(23.4)h(Z=3.13,P<0.05);术后住院时间分别为 7.5(1.8)d和 9.0(3.0)d(Z=2.77,P<0.05);造瘘组膀胱造瘘管留置时间为 68.4(65.8)h。两组术中血红蛋白下降值、手术时间、术后膀胱冲洗时间和输血率均无统计学差异。结论 12 mm曲卡膀胱造瘘制造低压膀胱联合经尿道前列腺剜除术,可使膀胱保持低压状态,降低手术时患者的中心静脉压,是安全、有效的手术方式。

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备注/Memo

备注/Memo:
基金项目:广东省科技计划社会发展项目( 2010B031600083)
通讯作者:邱剑光,Email:qjg702@qq.com
更新日期/Last Update: 2014-12-25