经尿道前列腺电切术与经尿道前列腺电气化术术中灌洗液吸收的比较

Comparison of irrigating solution absorption between transurethral resection and transurethral vaporization for benign prostatic hyperplasia

目的:比较经尿道前列腺电切术与经尿道前列腺电气化术两种术式中灌洗液的吸收,评价两种术式对于发生TUR综合征的风险。方法:50名良性前列腺增生病人随机分配于行经尿道前列腺电切术与经尿道前列腺电气化术,1.5%氨基乙酸和1%乙醇缓冲液用于灌洗,每10分钟测一次呼气乙醇浓度,计算灌洗液吸收的体积。比较不同时间及不同手术方法灌洗液吸收的差异。结果:二组的灌洗液吸收随手术时间延长而增加(P<0.01)。同一时间灌洗液的吸收:经尿道前列腺电切术比经尿道前列腺电气化术高(P<0.01)。结论:经尿道前列腺电气化术发生TUR综合征的风险更低。

Objective： To evaluate the value of percutaneous small tract puncture nephrostomy ureteroscopy through the TROCAR as a treatment for complex kidney calculi. Methods： Percutaneous small tract puncture nephrostomy followed by endo - ureteroscopic lithotripsy through the channel of the F16-F18 trocar in the corresponding period was carried out in the multiple renal stones. The therapeutic efficacies were retrospective analyzed in 478 cases of operating patient. Results： There were no serious complication during operation and after operation by M PCNL. And the stones were cleared off 93.143 %. Conclusions： M PCNL has advantages of less wound, less hemorrhage, less complications and short length of stay, showing a good value in clinical application.