【摘要】 目的 探討良性前列腺增生癥（benign prostatic hyperplasia，BPH）應(yīng)用經(jīng)尿道前列腺普通電切鏡剜除術(shù)（transurethral electro enucleation of the prostate，TUEP）的方法及療效?！》椒ā?007年12月－2010年7月，應(yīng)用TUEP治療BPH患者201例，并根據(jù)前列腺腺體的大小及形狀的不同采用不同的剜除方法以提高手術(shù)的成功率?！〗Y(jié)果 全部患者均順利完成手術(shù)，切除前列腺重量平均38 g，平均手術(shù)時間100 min，術(shù)后平均留置導(dǎo)尿管時間5~7 d，術(shù)后平均住院時間5.5 d。 結(jié)論 TUEP是治療良性前列腺增生癥的一種有效方法?！続bstract】 Objective To evaluate the therapeutic effect of transurethral enucleation of prostate on benign prostatic hyperplasisa. Methods From December 2007 to July 2010, 201 patients with benign prostatic hyperplasia underwent transurethral enucleation. According to the size and shape of the gland, different enucleation ways were used to improve the surgical success rate. Results All of the enucleations were successful. The average weight of the resected prostate was 38 grams, the mean operation duration was 100 minutes, the average days of indwelling catheter was 5-7 days, and the average hospital staying was 5.5 days. Conclusion Transurethral enucleation of prostate for benign prostatic hyperplasia is effective.
【摘要】目的評價消炎痛栓劑治療前列腺切除術(shù)后膀胱痙攣的療效。方法臨床確診為前列腺增生的患者50例,均行前列腺切除術(shù)。手術(shù)后分為治療組35例和對照組15例。治療組手術(shù)后立即經(jīng)直腸給予消炎痛栓劑100 mg,手術(shù)后3～5 d內(nèi)繼續(xù)給予消炎痛栓劑100 mg,1次/d進行治療;對照組采用常規(guī)手術(shù)后鎮(zhèn)痛方法治療。結(jié)果治療組僅3例患者有輕度膀胱痙攣發(fā)作,給予消炎痛栓劑后緩解;對照組11例在手術(shù)后出現(xiàn)中重度膀胱痙攣,患者不能耐受,常規(guī)鎮(zhèn)痛效果差。其中3例手術(shù)后采用各種方法治療均無效,出血較多,再次給予膀胱鏡下沖洗,并給予消炎痛栓劑治療后好轉(zhuǎn)。結(jié)論消炎痛栓劑經(jīng)直腸給藥預(yù)防及治療前列腺切除術(shù)后膀胱痙攣實為一種效果確切且經(jīng)濟實用的臨床方法。