弯头式前列腺扩张导尿管治疗前列腺增生症58例报告

A report of bent prostatic expansion catheter in the treatment of 58 patients with prostatic hyperplasia

本文就自行发明的弯头式前列腺扩张导尿管治疗前列腺增生症(BPH)58例的具体情况进行论述。将弯头式前列腺扩张导尿管下入膀胱后先予充盈导尿管的固定水囊,扩张水囊就置于膀胱颈口和前列腺尿道部之间,在彩超监视下依前列腺的大小及形态冲胀扩张气囊,使前联合裂开,起到扩裂术的作用。经随访6个月,患者尿路梗阻症状改善,57例排尿正常,另1例在2个月后突然排尿困难出现尿潴留,彩超证实患者中叶增生突入膀胱造成尿路梗阻。

In this paper, 58 cases of prostatic hyperplasia were treated by self invented prostatic dilatation catheter. The specific situation of all patients were discussed. After the elbow type prostatic dilatation catheter was inserted into the bladder, the fixed water sac filled with the urethral catheter was given first. The expansion bladder was placed between the bladder neck and the prostatic urethra. According to the size and shape of the prostate gland under the monitoring of color Doppler ultrasound, the expansion of the balloon, so that the former joint split played a role in the expansion of surgery. After 6 months of follow-up, the symptoms of urinary obstruction were improved, and 57 patients had normal urination. The other patient developed urinary retention in a sudden dysuria after 2 months. Color Doppler ultrasound confirmed that the patient＇ s middle lobe hyperplasia burst into the bladder causing urinary tract obstruction.