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中华腔镜泌尿外科杂志(电子版) ›› 2019, Vol. 13 ›› Issue (03) : 198 -202. doi: 10.3877/cma.j.issn.1674-3253.2019.03.014

所属专题: 文献

临床研究

内镜辅助直视下经尿道柱状水囊前列腺扩开术的疗效分析
卜威振1, 王鑫1, 王东文1, 马志方1,()   
  1. 1. 030001 太原,山西医科大学第一医院泌尿外科
  • 收稿日期:2018-10-22 出版日期:2019-06-01
  • 通信作者: 马志方

The application of endoscopic assisted direct vision in transurethral columnar balloon dilation of the prostate

Weizhen Bu1, Xin Wang1, DongWen Wang1, Zhifang Ma1,()   

  1. 1. Department of Urology, the First Hospital of Shanxi Medical University, Taiyuan 030001, China
  • Received:2018-10-22 Published:2019-06-01
  • Corresponding author: Zhifang Ma
  • About author:
    Corresponding author: Ma Zhifang, Email:
引用本文:

卜威振, 王鑫, 王东文, 马志方. 内镜辅助直视下经尿道柱状水囊前列腺扩开术的疗效分析[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2019, 13(03): 198-202.

Weizhen Bu, Xin Wang, DongWen Wang, Zhifang Ma. The application of endoscopic assisted direct vision in transurethral columnar balloon dilation of the prostate[J/OL]. Chinese Journal of Endourology(Electronic Edition), 2019, 13(03): 198-202.

目的

探讨内镜辅助直视下经尿道柱状水囊前列腺扩开术(TUCBDP)在治疗前列腺增生(BPH)中的应用。

方法

回顾性分析2018年3月至2018年6月间在山西医科大学第一医院行TUCBDP的36例BPH患者的临床资料,比较手术前后患者的国际前列腺症状评分(IPSS)、生活质量评分(QOL)、最大尿流率(Qmax)及残余尿量(RUV),观察手术时间、出血量、并发症等。

结果

所有患者的平均手术时间为(32±10)min,术中出血量(19±10)ml。与术前相比,术后随访期间患者的IPSS、QOL、Qmax及RUV均显著改善,差异有统计学意义(P<0.05)。仅2例患者出现拔除尿管后短暂尿失禁,并于拔管后1周恢复,无真性尿失禁发生。

结论

内镜辅助直视下TUCBDP手术效果确切。通过全程直视下操作,可准确选择导管型号和精准定位,从而保证手术成功率及有效避免术后尿失禁等并发症发生。

Objective

To explore the application value of endoscopic assisted operation in the treatment of benign prostatic hyperplasia (BPH) by transurethral columnar balloon dilation of the prostate (TUCBDP).

Methods

The clinical data of 18 patients with prostate hyperplasia who were treated with TUCBDP in the First Hospital of Shanxi Medical University from March 2018 to June 2018 were analyzed retrospectively. The international prostate symptoms score (IPSS), quality of life (QOL), maximum urinary flow rate (Qmax) and residual urine volume (RUV) were compared before and after surgery, and the operative time and complications were observed.

Results

The mean operative time of all patients was (32±10) min and the intraoperative blood loss was (19±10) ml. Compared with preoperative results, IPSS, QOL, Qmax and RUV of the patients during postoperative follow-up were significantly improved (P<0.05). One patient suffered transient incontinence after removal of the catheter, and recovered 1 week after removal. There was no true incontinence occurred.

Conclusion

Endoscopic assisted TUCBDP surgery is effective. The whole operation can be under direct vision, the catheter model and precise positioning can be accurately selected, so as to guarantee the success rate of surgery and effectively avoid the occurrence of postoperative complications such as urinary incontinence.

视频1 输尿管镜辅助直视下经尿道柱状水囊前列腺扩开术
表1 36例BPH患者直视下行TUCBDP术前及术后3个月主客观指标的比较(±s
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