前列腺腔内逆行剥离法在经尿道前列腺汽化切除术中的应用

Application of intracavitary retrograde dissection in transurethral vaporization resection of the prostate

对260例良性前列腺增生症患者用前列腺双极汽化电切镜经尿道将前列腺腺体贴外科包膜逆行剥离,断血供并推至膀胱颈后切除,对术中出血量、手术时间、术后冲洗时间、拔除尿管时间和术后效果进行评估。经尿道前列腺腔内逆行剥离法是汽化电切中一种切实可行的新技术,有临床推广价值。

Objective To evaluate the effect of intracavitary retrograde dissection during transurethral vaporization resection of the prostate (TUVRP). Methods The efficacy of intracavitary retrograde dissection of the prostate with PK bipolar generation was evaluated in 260 cases in view of the volume of intraoperative bleeding, operation time, safety and postoperative bleeding, catheterization time and prognosis in comparison with the results of exclusive use of TUVRP. Results Intracavitary retrograde dissection of the prostate provided good operative view as compared with conventional TUVRP. Conclusion Intracavitary retrograde dissection is a practically feasible procedure for benign prostatic hyperplasia.