目的总结腹腔镜下膀胱部分切除术治疗膀胱憩室临床疗效并探讨其应用价值。方法回顾性分析2014年1月~2015年10月我科5例腹腔镜下膀胱部分切除术病例,4例行经尿道前列腺剜除术+腹腔镜下膀胱部分切除术,1例行经尿道膀胱颈切开术+腹腔镜下...目的总结腹腔镜下膀胱部分切除术治疗膀胱憩室临床疗效并探讨其应用价值。方法回顾性分析2014年1月~2015年10月我科5例腹腔镜下膀胱部分切除术病例,4例行经尿道前列腺剜除术+腹腔镜下膀胱部分切除术,1例行经尿道膀胱颈切开术+腹腔镜下膀胱部分切除术。结果 5例患者手术均成功,平均手术时间140±23.7 min,平均出血量65±15.2 m L,无需输血,术中、术后未出现严重并发症,术后2~3d拔除引流管,平均住院时间7.4±1.1d。结论对于膀胱出口梗阻合并膀胱憩室病例,行经尿道电切术+腹腔镜下膀胱部分切除术,具有创伤小、出血少、恢复快、并发症少、住院时间短等优点,是微创治疗膀胱憩室安全、可行的手术方法。展开更多
<strong>Introduction:</strong> Lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH) is one among the foremost common diseases affecting the aging man with, almost 80% of the ...<strong>Introduction:</strong> Lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH) is one among the foremost common diseases affecting the aging man with, almost 80% of the lads greater than 70 affected. BPH is caused by unregulated proliferation within the prostate, which may cause physical obstruction of the prostatic urethra and result in anatomic bladder outlet obstruction (BOO). Transurethral resection of the prostate (TURP) has been the historical gold standard up till now to which all endoscopic procedures for benign prostatic hyperplasia (BPH) are compared with a mean hospital stay of three days. This surgery although efficacious has been related with increased morbidity and increased day case failure rates as compared to newer techniques. These shortcomings have prompted the utilization of newer methods like Transurethral enucleation and resection of the prostate (TUERP), Holmium laser enucleation of the prostate (HoLEP) and Thulium laser enucleation of the prostate (ThuLEP). This review will discuss the enucleation techniques, advantages and therefore the predictive factors for a successful day case prostate surgery. <strong>Materials and Methods:</strong> During this review, we discuss the newer techniques utilized in day case BPH surgery as well as the predictive factors for a successful BPH surgery, both enucleation, benefits and morcellation are covered also. <strong>Results:</strong> TUERP, ThuLEP and HoLEP have literature supporting the advantages of these techniques, which demonstrates its ability in day case BPH surgeries in specially selected cases with favorable factors and a 61% overall success rate. <strong>Conclusion:</strong> TUERP, ThuLEP and HoLEP Have proven to show favorable outcomes in day case BPH surgery with urologist’s experience, prostate size, duration of operation, age, use of anticoagulants, morning theatre list and ASA score being the key factors for a successful day case surgery.展开更多
目的:探讨经尿道等离子前列腺剜除术治疗前列腺增生症对患者生活质量、并发症的影响。方法:选取有完整治疗与护理干预信息的120例前列腺增生症患者,随机分为对照组( n =60)与观察组( n =60);对照组采用经尿道等离子前列腺电切术(transur...目的:探讨经尿道等离子前列腺剜除术治疗前列腺增生症对患者生活质量、并发症的影响。方法:选取有完整治疗与护理干预信息的120例前列腺增生症患者,随机分为对照组( n =60)与观察组( n =60);对照组采用经尿道等离子前列腺电切术(transurethral plasma prostatectomy,TPKRP),观察组采用经尿道剜除术(transurethral enucleation of the prostate,TUERP),比较两组患者生活质量改善情况及不良事件发生情况。结果:观察组生活质量改善率98.3 %,高于对照组生活质量改善率90.0 %( P <0.05);观察组的并发症发生率为3.3 %,低于对照组的并发症发生率11.7 %( P <0.05)。结论:前列腺增生症的治疗中采用经尿道等离子前列腺剜除术,能够提高患者的生活质量、降低术后并发症发生率。展开更多
文摘目的总结腹腔镜下膀胱部分切除术治疗膀胱憩室临床疗效并探讨其应用价值。方法回顾性分析2014年1月~2015年10月我科5例腹腔镜下膀胱部分切除术病例,4例行经尿道前列腺剜除术+腹腔镜下膀胱部分切除术,1例行经尿道膀胱颈切开术+腹腔镜下膀胱部分切除术。结果 5例患者手术均成功,平均手术时间140±23.7 min,平均出血量65±15.2 m L,无需输血,术中、术后未出现严重并发症,术后2~3d拔除引流管,平均住院时间7.4±1.1d。结论对于膀胱出口梗阻合并膀胱憩室病例,行经尿道电切术+腹腔镜下膀胱部分切除术,具有创伤小、出血少、恢复快、并发症少、住院时间短等优点,是微创治疗膀胱憩室安全、可行的手术方法。
文摘<strong>Introduction:</strong> Lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH) is one among the foremost common diseases affecting the aging man with, almost 80% of the lads greater than 70 affected. BPH is caused by unregulated proliferation within the prostate, which may cause physical obstruction of the prostatic urethra and result in anatomic bladder outlet obstruction (BOO). Transurethral resection of the prostate (TURP) has been the historical gold standard up till now to which all endoscopic procedures for benign prostatic hyperplasia (BPH) are compared with a mean hospital stay of three days. This surgery although efficacious has been related with increased morbidity and increased day case failure rates as compared to newer techniques. These shortcomings have prompted the utilization of newer methods like Transurethral enucleation and resection of the prostate (TUERP), Holmium laser enucleation of the prostate (HoLEP) and Thulium laser enucleation of the prostate (ThuLEP). This review will discuss the enucleation techniques, advantages and therefore the predictive factors for a successful day case prostate surgery. <strong>Materials and Methods:</strong> During this review, we discuss the newer techniques utilized in day case BPH surgery as well as the predictive factors for a successful BPH surgery, both enucleation, benefits and morcellation are covered also. <strong>Results:</strong> TUERP, ThuLEP and HoLEP have literature supporting the advantages of these techniques, which demonstrates its ability in day case BPH surgeries in specially selected cases with favorable factors and a 61% overall success rate. <strong>Conclusion:</strong> TUERP, ThuLEP and HoLEP Have proven to show favorable outcomes in day case BPH surgery with urologist’s experience, prostate size, duration of operation, age, use of anticoagulants, morning theatre list and ASA score being the key factors for a successful day case surgery.
文摘目的:探讨经尿道等离子前列腺剜除术治疗前列腺增生症对患者生活质量、并发症的影响。方法:选取有完整治疗与护理干预信息的120例前列腺增生症患者,随机分为对照组( n =60)与观察组( n =60);对照组采用经尿道等离子前列腺电切术(transurethral plasma prostatectomy,TPKRP),观察组采用经尿道剜除术(transurethral enucleation of the prostate,TUERP),比较两组患者生活质量改善情况及不良事件发生情况。结果:观察组生活质量改善率98.3 %,高于对照组生活质量改善率90.0 %( P <0.05);观察组的并发症发生率为3.3 %,低于对照组的并发症发生率11.7 %( P <0.05)。结论:前列腺增生症的治疗中采用经尿道等离子前列腺剜除术,能够提高患者的生活质量、降低术后并发症发生率。
