论文部分内容阅读
目的总结等离子电切镜治疗下尿路疾病的体会。方法采用经尿道等离子双极电切镜治疗下尿路疾病110例,其中前列腺增生92例,膀胱肿瘤12例,输尿管开口囊肿2例(1例同时行膀胱结石碎石),联合钬激光治疗膀胱结石7例(2例同时行前列腺等离子双极电切),术后随访3~36个月。结果全组无电切综合征等大的围术期并发症及手术死亡患者。92例前列腺增生患者术后89例排尿通畅,其中输血4例。膀胱肿瘤出现闭孔神经反射2例,无大出血及膀胱穿孔发生。输尿管囊肿及膀胱结石均1次顺利完成手术。结论等离子双极电切镜可用于治疗前列腺增生等多种下尿路疾病,安全、效果可靠。
Objective To summarize the experience of plasma resectoscope in treating lower urinary tract diseases. Methods 110 cases of lower urinary tract diseases were treated with transurethral plasma bipolar resectoscope. Among them, 92 cases of benign prostatic hyperplasia, 12 cases of bladder tumor, 2 cases of ureter open cyst (1 case with bladder stone at the same time) and holmium laser treatment of bladder Seven cases of stone (2 cases of bipolar prostatectomy prostate), followed up for 3 to 36 months. Results The whole group of patients with perioperative complications such as no-cut-off syndrome and surgical death. 92 cases of benign prostatic hyperplasia postoperative urinary tract 89 patients, including 4 cases of transfusion. Two cases of obturator nerve reflex were found in the bladder tumor, with no major hemorrhage and bladder perforation. Ureteral cysts and bladder stones were successfully completed the operation. Conclusion Plasma bipolar resection can be used to treat benign prostatic hyperplasia and other lower urinary tract diseases, safe and reliable.