Objective:Toimprove the diagnosis and treatment of prostate abscess by summing up experience of 6 cases of prostatic abscess.Methods:From May 2014 to October 2019,6 cases of prostatic abscess were diagnosed by means o...Objective:Toimprove the diagnosis and treatment of prostate abscess by summing up experience of 6 cases of prostatic abscess.Methods:From May 2014 to October 2019,6 cases of prostatic abscess were diagnosed by means of clinical manifestations combined with digital rectal examination(DRE),ultrasound and computed tomography(CT).Five cases were performed transurethral incision and drainage for prostatic abscess,and 1 case underwent ultrasound-guided perineal drainage.Results:The symptoms of the 6 patients disappeared after drainage and recovered well without recurrence.Conclusions:The clinical manifestations combined with DRE,ultrasonography and CT are beneficial to the diagnosis of prostatic abscess.Both transurethral incision and drainage and ultrasound-guided perineal drainage are effective way to treat prostate abscess.展开更多
Objective: To study the postoperative trauma of the retroperitoneal laparoscopic intrasinusal pyelolithotomy (RLIP) and percutaneous nephrolithotomy (PCNL). Methods: A total of 118 patients who were diagnosed with sin...Objective: To study the postoperative trauma of the retroperitoneal laparoscopic intrasinusal pyelolithotomy (RLIP) and percutaneous nephrolithotomy (PCNL). Methods: A total of 118 patients who were diagnosed with single pelvis calculus in Shanghai Punan Hospital of Pudong New District between September 2013 and February 2017 were selected and randomly divided into RLIP group and PCNL group who received retroperitoneal laparoscopic intrasinusal pyelolithotomy and percutaneous nephrolithotomy respectively. The removal of the stones was observed 1 week and 4 weeks after surgery, and 3mL of cubital venous blood was collected 3 d and 7 d after operation to detect the renal function indicators, inflammatory markers and stress indicators. Results: The stone removal success rate of RLIP group 1 week and 4 weeks after operation were significantly higher than those of PCNL group, serum BUN, Scr and Cys-C contents as well as eGFR levels were not significantly different between RLIP group and PCNL group 3 d and 7 d after operation, and serum Cor, NE, HSP70, NO, IL-6, hs-CRP, TNF-α and PGE2 contents of RLIP group 3 d and 7 d after operation were significantly lower than those of PCNL group. Conclusion: RLIP is significantly better than PCNL in stone removal and causes significantly less postoperative trauma than PCNL.展开更多
基金Shanghai key specialty medical construction plan(No.ZK2019C07)。
文摘Objective:Toimprove the diagnosis and treatment of prostate abscess by summing up experience of 6 cases of prostatic abscess.Methods:From May 2014 to October 2019,6 cases of prostatic abscess were diagnosed by means of clinical manifestations combined with digital rectal examination(DRE),ultrasound and computed tomography(CT).Five cases were performed transurethral incision and drainage for prostatic abscess,and 1 case underwent ultrasound-guided perineal drainage.Results:The symptoms of the 6 patients disappeared after drainage and recovered well without recurrence.Conclusions:The clinical manifestations combined with DRE,ultrasonography and CT are beneficial to the diagnosis of prostatic abscess.Both transurethral incision and drainage and ultrasound-guided perineal drainage are effective way to treat prostate abscess.
文摘Objective: To study the postoperative trauma of the retroperitoneal laparoscopic intrasinusal pyelolithotomy (RLIP) and percutaneous nephrolithotomy (PCNL). Methods: A total of 118 patients who were diagnosed with single pelvis calculus in Shanghai Punan Hospital of Pudong New District between September 2013 and February 2017 were selected and randomly divided into RLIP group and PCNL group who received retroperitoneal laparoscopic intrasinusal pyelolithotomy and percutaneous nephrolithotomy respectively. The removal of the stones was observed 1 week and 4 weeks after surgery, and 3mL of cubital venous blood was collected 3 d and 7 d after operation to detect the renal function indicators, inflammatory markers and stress indicators. Results: The stone removal success rate of RLIP group 1 week and 4 weeks after operation were significantly higher than those of PCNL group, serum BUN, Scr and Cys-C contents as well as eGFR levels were not significantly different between RLIP group and PCNL group 3 d and 7 d after operation, and serum Cor, NE, HSP70, NO, IL-6, hs-CRP, TNF-α and PGE2 contents of RLIP group 3 d and 7 d after operation were significantly lower than those of PCNL group. Conclusion: RLIP is significantly better than PCNL in stone removal and causes significantly less postoperative trauma than PCNL.
