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It's assured that hyperplasia prostatectomy to be succeed with careful nursing before during and after operation.

积极有效的术前、术中和术后护理是保证前列腺增生的老年患者耻骨上经膀胱前列腺摘除术的重要环节。

objective: to investigate diagnosis and treatment choice of detrusor hypoactivity with impaired contractile function on voiding function in benign prostatic hyperplasia.methods:the clinical date of 48 bph patients with dhic were analyzed,including clinical diagnosis,urodynamic parameters,treatment and follow-ups.results:37 patients with detrusor instability and over 40 cmh2o bladder pressure were treated successfully by turp.the time of indwelling suprapubic punctural cystostomy cathter was(1~8)weeks.11cases without di and under 40 cmh2o bladder pressure were treated by suprapubic punctural cystostomy,accepted the test of urodynamics after(1~3)months.7 cases with di were treated successfully by turp,4 cases without di were indwelled suprapubic punctural cystostomy cathter all life.conclusion:dhic worsens the voiding function of the patients with bph,and the test of urodynamic is helpful to diagnose and could provide more convinced evidences for treatment of patients.

分析膀胱过度充盈所致逼尿肌损伤,引起膀胱逼尿肌收缩无力良性前列腺增生48例患者的临床资料,包括诊断,尿动力学检查,治疗及随访结果。结果:37例经尿流动力学检查,诱发存在逼尿肌不稳定,伴膀胱内压达40 cmh2o以上,采取turp,术后留置膀胱造瘘管(1~8)周后全部拔除,排尿通畅。11膀胱内压始终未达到40 cmh2o,且在膀胱注水充盈过程中无逼尿肌不稳定出现,行膀胱造瘘后出院,(1~3)个月后经尿动力学检查复查膀胱逼尿肌收缩力,其中7例膀胱逼尿肌收缩功能有恢复,行经尿道前列腺汽化电切术治愈;剩余4例膀胱逼尿肌收缩功能几乎无任何改善。长期留置膀胱造瘘治疗。结论:良性前列腺增生导致膀胱过度充盈所致逼尿肌损伤,引起膀胱逼尿肌收缩无力患者,术前应用尿流动力学检查对膀胱逼尿肌损伤程度进行认真分析,可进行有针对性的治疗。

The resection electrode types include: a hand-crafted, temperature-resistant tungsten wire-cutting loop; a coagulating perforated resector that provides a 40% greater coagulation zone than standard cutting loops and performs cutting and coagulation simultaneously during tissue resection; a dimpled vaporization roller that offers a smoother area of vaporization than a grooved roller while providing deep-tissue coagulation; a roller ball and roller barrel, which are used for coagulation and ablation of soft tissue in the bladder and prostate (the roller ball may also be used for endometrial ablation in the uterus); and a Collings knife that allows urologists access to all areas of the prostate and is most commonly used for ureteral meatotomy and transurethral incision of the prostate.

切除电极包括:手动操作、耐受高温、钨丝切除线圈;凝固穿孔前列腺切除器,比标准切除线圈的凝固面积大出40%,能够在组织切除过程中同时进行切除和凝固;一种漩涡汽化转子,比槽式转子提供更加平滑的汽化区域,同时产生深部组织凝固;一个转子球和转子滚筒,用于膀胱和前列腺软组织的凝固和汽化(转子球还可以用于子宫内膜的消融);一个Collings刀能够帮助泌尿科医生进入前列腺的所有区域,通常用于输尿管切除术和经尿道前列腺切开。

The urethral vessels enter the prostate at the posterolateral vesicoprostatic junction and supply the vesical neck and periurethral portion of the gland.

尿道血管在膀胱前列腺交界处的后外侧进入前列腺,供应膀胱颈和尿道周围腺体。

The urethral essels enter the prostate at the posterolateral esicoprostatic junction and supply the esical neck and periurethral portion of the gland.

尿道血管在膀胱前列腺交界处的后外侧进入前列腺,供应膀胱颈和尿道周围腺体。

CT is important means for diag-nosing the diseases originated from bladder,prostate and seminal vesicle but it does not entirelysatisfy early diagnosing prostatomegaly or tumor.

CT虽然作为膀胱、前列腺和精囊等疾病诊断的重要手段,但是对前列腺肥大或肿瘤早期诊断有一定限制,特别是当前列腺与精囊及膀胱底融合为软组织块状影,界线不清时,与肿瘤外侵不易鉴别。

Objective To probe into the relationship between the baldder irrigation speed and unstable bladder after suprapubic prostatectomy viablader.

目的 探讨耻骨上经膀胱前列腺切除术后膀胱冲洗速度与不稳定膀胱的关系。方法抽取 90例耻骨上经膀胱前腺切除术后病人,随机分为A ,B ,C三组。

38 cases with hyperplasia prostatectomy through suprapubic were irrigated bladder and cared thoroughly.

对我院38例前列腺增生的老年患者行耻骨上经膀胱前列腺摘除术,围手术期实施术前精心细致护理和术后膀胱冲洗及其它有效辅助护理。

If this process were bilateral, then the problem would originate in the bladder trigone or urethra (or the prostate around the urethra) or some process that could impinge on both ureters.

如果病变是双侧的,原因可能是膀胱三角或尿道前列腺部的病变;或是其它能侵犯两侧输尿管的病变。

After prostate was enucleated, purse-string suture of vesical neck was done with thick catgut, hung and fixed outside the skin, thus to completely separate the fossa of prostate from bladder, and reach the purpose of hemostasis by the self contraction of the fossa.

对83例前列腺增生患者行耻骨上前列腺摘除术中,在剜除前列腺后,用粗肠线作膀胱颈部荷包缝合并悬吊固定于皮肤外,从而使前列腺窝与膀胱完全隔离,依靠腺窝的自身收缩达到止血目的。

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