摘要
目的评价膀胱穿刺造瘘术在大前列腺电切术中的应用价值。方法将本院2010年～2012年100例前列腺重量>60g的前列腺增生症患者,按治疗方法不同分为膀胱穿刺造瘘组和非造瘘组,比较两组的手术时间,术中膀胱压力、手术前后血红蛋白、血钠的变化,分析两组的手术安全性和效果,评估膀胱穿刺造瘘的应用价值。结果两术式的手术时间、术中膀胱压力、手术前后血红蛋白和血钠的变化相比TURS发生例数,差异有统计学意义。结论膀胱穿刺造瘘能降低膀胱压力,保持冲洗液引流通畅和手术视野清晰,能减少手术时间、降低手术风险,在大体积TURP术中有较高的应用价值。
Objective To evaluate the application value of the bladder cystostomy in the bulk mass TURP. Methods The 100 BPH patients with weight of prostate greater than 60 g were divided randomly into cystostomy group and non-cystostomy group. It was compared with the operation periods, bladder pressure during operation and the differ- ences of haemoglobin and haemonatremia pre and postoperatively of the two groups. The safety and effect of the opera- tion of two groups were analyzed to evaluate the application value of the cystostomy. Results There were significant differences with the operation period, bladder pressure during operation and the differences of haemoglobin and haemonatremia pre and postoperatively of the two groups. Conclusion The cystostomy may reduce the bladder pres- sure, keep a free drainage of the washing fluid and a clear surgical field as well as shorten the operation period, re- duce the operation risk which induce a high application value in bulk mass TURP.
出处
《中国现代医生》
2013年第13期157-158,共2页
China Modern Doctor
