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经尿道切除术(精准升级版)治疗良性前列腺增生症患者

[Transurethral ablation (Precision Plus) in the treatment of patients with benign prostatic hyperplasia].

作者信息

Mazo E B, Krivoborodov G G

出版信息

Urologiia. 2005 May-Jun(3):12-5.

Abstract

Benign prostatic hyperplasia (BPH) is a common condition among elderly men. Transurethral needle ablation of the prostate (TUNA) is a minimally invasive procedure for treatment of BPH. With TUNA, the inner region of the prostate is selectively ablated with temperatures approaching 90-100 degrees C while prostatic urothelium is preserved. The TUNA (Precision Plus) was used in 9 patients with BPH: 1 patient had acute urinary retention, 6 ones had suprapubic catheter and 2 patients had lateral and median lobes. The patient with acute urinary retention and 4 patients with suprapubic catheter resumed voiding after TUNA. Two patients with lateral and median lobes showed improvement of subjective and objective parameters. The size of the prostate did not change one month after TUNA. Thus, TUNA is a safe and effective therapy for treatment of BPH that can be performed with local anaesthesia.

摘要

良性前列腺增生(BPH)是老年男性的常见病症。经尿道前列腺针刺消融术(TUNA)是一种治疗BPH的微创手术。通过TUNA,在接近90 - 100摄氏度的温度下选择性消融前列腺内部区域,同时保留前列腺尿路上皮。9例BPH患者使用了TUNA(Precision Plus):1例患者出现急性尿潴留,6例患者有耻骨上导管,2例患者有侧叶和中叶。急性尿潴留患者和4例耻骨上导管患者在TUNA术后恢复排尿。2例侧叶和中叶患者主观和客观参数均有改善。TUNA术后1个月前列腺大小未改变。因此,TUNA是一种可在局部麻醉下进行的治疗BPH的安全有效的疗法。

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