钛丝尿道支架用于治疗手术高危前列腺增生症

Surgical treatment of BPH patients with fragile condition using urethral titanium spiral

应用国产钛丝尿道支架放置于尿道前列腺部治疗手术高危良性前列腺增生症69例。通过电切镜放置钛丝支架，67例成功。术后患者排尿困难明显缓解。随诊1～15个月，均能自主排尿．无尿潴留发生。41例最大尿流率大于12．5ml／s，尿路感染得以控制；26例最大尿流率大于8．5ml／s，总有效率97．1％。作者认为该方法治疗前列腺增生症简便、安全、疗效好、并发症少，对不能接受手术治疗的前列腺增生患者尤为适宜。文中对适应证、操作方法及注意事项进行了探讨。

A kind of domestic developed titanium wire spiral has been instituted into the prostatic urethra in 69 patients for the treatment of BPH. The spiral were all inserted endoscopically by electroresectoscope. 67 patients were inserted successfully and had free voiding. These patients have been followed up for 1~15 months and shown that 41 patients have had free voiding with maxium flow rate being above 12. 5ml/s as well as 26 patients above 8. 5ml/s. The total effective rate has been 97. 1 % o The author tegard this method as a safe, simple, effective procedure for the treatment of BPH. It is especially favourite to those patients with fragile condition who couldn,t accept operation management. The indication, technique and points for attention were discussed.