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经尿道等离子体双极电切术治疗前列腺增生及膀胱肿瘤的应用

Transurethral Resection of Hyperplasic Prostate and Bladder Tumor Using Bipolar Electrosection Technique

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【作者】 曹庆生张启发方文年

【Author】 CAO Qing-sheng,ZHANG Qi-fa,FANG Wen-nian (Anqing No.2 People’s Hospital,Anhui Anqing 246004,China)

【机构】 安庆市第二人民医院安庆市第二人民医院 安徽安庆246004安徽安庆246004安徽安庆246004

【摘要】 目的:探讨经尿道等离子体双极电切术的临床应用。方法:经尿道等离子双极电切行前列腺切除(PKRP)39例,前列腺28~80g,平均48g;膀胱肿瘤切除(PKRBT)8例,肿瘤分级G15例,G23例。术后随访1~8个月。结果:PKRP手术时间30~110min,切除前列腺组织重量20~40g,平均31.5g。有2例需输血,无电切综合征发生。术后最大尿流率(Qmax)由术前的平均5mL.s-1上升至平均15mL.s-1;国际前列腺症状评分(IPSS)明显下降,PKRBT手术时间5~30min,2例轻度发生闭孔神经反射,随访1~8个月无复发。结论:等离子体双极电切行PKRP和PKRBT安全、有效。

【Abstract】 Objective: To assess the application of transurethral resection with bipolar electrosection technique.Methods:39 patients with symptomatic BPH were treated by PKRP. 8 patients with superficial transitional cell carcinoma were treated by PKRBT. All patients were followed up for 18 months( postoperatively. Results:For PKRP, the duration of the procedure was 30 to 110 min. No case except two (patients) need blood transfusion during the operation. No transurethral resection syndrom occurred. The peak flow rate increased from 5 mL·s-1 to 15 mL·s-1. The IPSS decreased respectively. For PKRBT, the (duration) of the procedure was 5 to 30 min. The adductor reflex was found in 2 cases. Conclusion:(Transurethral) bipolar electrosection of hyperplasic prostate and bladder tumor is effective and safe.

  • 【文献出处】 现代临床医学 ,Chengdu Medical Journal , 编辑部邮箱 ,2005年05期
  • 【分类号】R737.14;R699.8;
  • 【下载频次】40
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