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目的:总结应用镍钛记忆合金网状尿道支架治疗高危前列腺增生症(BPH)并急性尿潴留的临床疗效。方法:硬膜外麻下对27例年龄70~86岁(平均78.9岁)高危BPH并急性尿潴留患者应用镍钛记忆合金网状尿道支架进行治疗,术后常规应用吗啡+布比卡因单次镇痛。结果:放置27例网状尿道支架均获成功,膀胱刺激症状轻,未见严重并发症。结论:镍钛记忆合金网状尿道支架治疗高危前列腺增生症并急性尿潴留操作简单、安全,对患者打击小、疗效肯定,生活质量提高,是治疗高危前列腺增生症并急性尿潴留的理想方法。术后常规单次镇痛明显减少膀胱刺激症状。
OBJECTIVE: To summarize the clinical effect of nickel-titanium memory alloy mesh urethral stent in the treatment of high-risk benign prostatic hyperplasia (BPH) and acute urinary retention. Methods: Twenty-seven patients with BPH and acute urinary retention who were aged 70-86 years old (mean 78.9 years) were treated with nitinol mesh urethral stent. Epidural morphine plus bupivacaine Analgesic Results: 27 cases of reticular urethral stent placement were successful, bladder irritation was mild, no serious complications. Conclusion: NiTi mesh urethral stent is an ideal method for the treatment of BPH and acute urinary retention in patients with high-risk benign prostatic hyperplasia and acute urinary retention. The operation is simple and safe, with little impact on the patients, definite curative effect and quality of life. Postoperative conventional single analgesia significantly reduced bladder irritation.