目的 評價經尿道雙極等離子前列腺剜除術與經尿道雙極等離子電切術比較治療前列腺增生（BPH）的療效和安全性。方法 將80例符合納入標準的BPH患者進行分段均衡隨機化分組，其中40例行經尿道雙極等離子前列腺剜除術，40例行經尿道雙極等離子前列腺電切術，對患者術前、術后隨訪6個月時的前列腺癥狀評分（IPSS）、生活質量評分（QOL）、最大尿流率（Qmax）、殘余尿量（PVR）等以及術中包膜穿孔、術中失血、手術時間、膀胱沖洗時間、尿管留置時間和術后不良反應等臨床指標進行統計分析。結果 兩組術前基本情況一致。術中臨床指標顯示，剜除組在術中包膜穿孔（2例vs. 8例）、術中沖洗液的血紅蛋白（10.95±5.02 g vs. 15.8±5.86 g）、手術時間（45.13±11.22 min vs. 53.33±8.69 min）、膀胱沖洗時間（12.58±2.77 h vs. 22.1±2.33 h）、尿管留置時間（65.13±10.67 h vs. 84.5±5.67 h）、術后尿道膀胱刺激征（5例vs. 12例）和拔除尿管后再次留置尿管事件（0例vs. 4例）方面均優于電切組；但術后短暫性尿失禁發生高于電切組（10例vs. 3例），且差異均有統計學意義（Plt;0.05）。術后隨訪6個月的結果顯示，兩組在IPSS（2.78±1.03 vs. 2.40±1.13）、QOL（1.28±0.45 vs. 1.45±0.51）、Qmax（21.10±2.68 vs. 20.58±2.57）和PVR（2.82±2.90 vs. 2.18±2.27）方面差異無統計學意義（Pgt;0.05），且兩組患者術后均未出現長期尿失禁、尿道狹窄和繼發性出血。結論 經尿道雙極等離子前列腺剜除術與經尿道雙極等離子前列腺電切術治療前列腺增生的近期手術療效相當，且手術安全性更高，是治療有癥狀BPH比較理想的方法，有廣闊的臨床應用前景。但其遠期療效仍有待大樣本長期隨訪的隨機對照研究進一步證實。
摘要:目的:探討良性前列腺增生經尿道前列腺電切術圍手術期的護理經驗。方法:回顧性分析96例良性前列腺增生患者臨床資料。結果:96例患者手術順利,圍手術期經周密的護理,療效滿意,無明顯并發癥。結論:周密的手術期護理對經尿道前列腺電切術治療老年良性前列腺增生十分重要。Abstract: Objective: To investigate the perioperative nursing care of transurethral prostatic resection (TURP). Methods: The data of 96 TURP cases were analyzed retrospectively. Results: All the operations were performed successfully, and there were no obvious complications among the patients with precise nursing care. Conclusion: It is very important for precise nursing care to the patients who underwent TURP.
摘要:目的:探討口腔頰黏膜尿道背側鑲嵌補片法治療長段前尿道狹窄圍術期的護理措施。 〖方法:術前做好口腔、會陰部及腸道準備,重視患者心理護理;術后重視尿管護理,維持吻合口低壓狀態,做好口腔及飲食護理,適當限制活動,注重并發癥的觀察與及時處理。結果:術后2～3月手術成功率達到92.4%,僅7.5%患者復發。結論:保證圍手術期護理措施的質量對尿道成形手術的效果起到了重要的作用。 Abstract: Objective: To explore the perioperative nursing measures for the patients who underwent urethroplasty with dorsal onlay autogenetic oral ducal mucosa. Methods: Preoperative preparation includes oral cavity, perinea region,bowel cleansing and psychological nursing. Postoperatively, urinary catheter nursing is crucial to keep the anastomosis tension acceptablely low. Other postoperative care includes oral cleansing, activity restricting, discovering and dealing promptly with the complications. Results: Success rate was 92.4% 23 months after operation .Only 7.5% patients relapsed. Conclusions: Intensive perioperative nursing care was obviously helpful in improving the outcome of urethroplasty.
摘要:目的:探討經尿道前列腺等離子切除術(PKRP)治療前列腺增生癥(BPH)的療效及安全性。方法:回顧分析采用PKRP治療的BPH患者,收集患者臨床資料,隨訪12個月,并對手術前后患者國際前列腺癥狀評分、最大尿流率、生活質量評分進行比較。結果:2006年8月至2008年8月PKRP手術治療BPH患者共238例,手術時間30～159 min,平均70 min,切除腺體25～127 g,平均54 g。無電切綜合征。術后及1年后最大尿流率、國際前列腺癥狀評分、生活質量評分三項指標較術前明顯改善(Plt;0.05)。結論:PKRP是治療BPH安全有效的治療方式。Abstract: Objective: To assess the clinical efficacy and safety of plasmakinetic energy transurethral resection of the prostate (PKRP) for benign prostatic hypertrophy (BPH). Methods: The data of patients with BPH treated with PKRP were retrospectively analyzed and the International Prostate Symptoms Scales (IPSS), maximum flow rate (Qmax) and Quality of Life (QOL) of patients with 12month followup were compared before and afteroperation and postoperation. Results: A total of 238 patients with BPH were enrolled from June 2006 to June 2008. The duration of the procedure was 70. 3 min (ranged from 30 min to 159 min) and the weight of dissected tissue was 54 g (ranged from 25 g to 127 g). No transurethral resection syndrome occurred. IPSS, Qmax and QOL were improved obviously after operation (Plt;0.05). Conclusion: PKRP is effective and safe.
