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Conclusion\ merging chronic prostatitis preoperative,inappropriate procedures at surgery and nursing care,urinary infection are the main causes of urethral stricture after prostatectomy .Transurethral cold knife urethrotomy and ...

术前合并慢性前列腺炎、术中操作不当及术后护理不当、泌尿系感染是手术后发生尿道狭窄的主要原因,经尿道冷刀内切开术及电切术是主要治疗方法。

Methods: One hundred and fourteen operations were performed for BPH patients, including transurethral resection/vapor of the prostate, inguinal herniorrhaphy, internal urethrotomy, transurethral resection of bladder tumor or vesical litholapaxy, and the data were reviewed.

对114例合并有腹股沟疝、尿道狭窄、膀胱肿瘤或膀胱结石的BPH患者在行经尿道前列腺电切/汽化术时,同期行腹股沟疝修补术、尿道内切开术、经尿道膀胱肿瘤电切术或膀胱取石术。

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。

Subarachnoid block is usually administered for classical transurethralresection of the prostate, so that the patient can be monitoredfor the onset of transurethral resection of the prostate syndromesecondary to irrigant absorption.

经典的经尿道前列腺切除术的麻醉,我们经常是选择蛛网膜下腔阻滞,这样我们可以在监护过程中发现继发于冲洗液吸收引起的经尿道前列腺切术术综合征。

The transurethral partly resection of prostate is a good treatment for the BPH patients at high risk,it has the advantages of shorter operation time ,less bleading early resumption and satisfactory results , the prostatectomy is more trauma , but can totally cut the prostate is the foundamental operation of prostatectomies , it can be chosed if the TURP is failure and it is suitable to be developed in the matrical hospital and the beginners .

经尿道前列腺部分电切术治疗高危前列腺增生的效果理想,具有手术时间短、出血少、创面小、恢复快,并发症少等优点。耻骨上前列腺摘除术创伤较大,但切除腺体彻底,是一切前列腺手术的基础,可作为腔内手术失败后的备选治疗方案,适宜在广大基层医院及初学者间开展。

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。

Methods To compare the clinical index of suprapubic transvesical prostatectomy with preservation of the prostatic urethra performed in 28 cases of BPHwith that of classical prostatectomy performed in 33 cases of BPH.

应用经膀胱保留后尿道前列腺切除术治疗28例前列腺增生症患者,并与同期施行的33例传统经膀胱前列腺切除术进行一系列临床指标的对比研究。

It was found that the peak urine flow rate increased from 7.6 ml/s to 20.1 ml/s, the residual urine volume decreased from 126.5 ml to 16.3 ml, and the ipss decreased from 24.1 to 5.6 points in 6 months.conclusion tups as a good treatment for bph is effective, highly safe and causing few complications.

最大尿流率由术前7.6 ml/s升到术后20.1 ml/s(术后6个月),剩余尿量由术前126.5 ml减至术后16.3 ml,国际前列腺症状评分由术前24.1分降至术后5.6分。结论经尿道前列腺裂开术治疗前列腺增生,具有安全性高、并发症少、疗效好的优点。

objective to evaluate the completeness of transurethral vaporization resection of prostate and transurethral resection of the prostate by weighting the prostates resected.

目的 探讨以切除的前列腺组织的重量来评价在经尿道前列腺汽化切割术及经尿道前列腺切除术中前列腺切除的彻底性。

Objective To evaluate the completeness of transurethral vaporization-resection of prostate and transurethral resection of the prostate by weighting the prostates resected.

文章摘要:目的探讨以切除的前列腺组织的重量来评价在经尿道前列腺汽化切割术及经尿道前列腺切除术中前列腺切除的彻底性。

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When I was in school, the rabbi explained everythingin the Bible two different ways.

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