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[冷冻手术在泌尿外科的当前地位]

[The current place of cryosurgery in urology].

作者信息

Rigondet G, Salé J M

出版信息

Ann Urol (Paris). 1985;19(3):153-7.

PMID:2411206
Abstract

Research on 880 cases. Cryosurgery was chosen for high-risk patients when other methods were contra-indicated. The operation is performed with no anesthetics. There is no risk of bleeding even in patients presenting with a high hypocoagulation. The operative technique is explained in detail, and precise indications are given for prostatic adenoma as well as for malignant tumors. The allied techniques of cryocautery and cryo-TUR are also described. Resumption of urination is assured in 87% of cases. Complications are rare if the protocol is scrupulously respected. The complications are discussed. There are other indications for cryosurgery in urology, such as for bladder tumors, but in rare cases only, and this technique should be considered as experimental.

摘要

对880例病例进行了研究。当其他方法存在禁忌时,冷冻手术被用于高危患者。该手术无需麻醉即可进行。即使是低凝血功能严重的患者也没有出血风险。详细解释了手术技术,并给出了前列腺腺瘤以及恶性肿瘤的精确适应症。还描述了冷冻烧灼术和冷冻经尿道前列腺切除术的相关技术。87%的病例排尿得以恢复。如果严格遵守方案,并发症很少见。对并发症进行了讨论。泌尿外科中冷冻手术还有其他适应症,如膀胱肿瘤,但仅在极少数情况下适用,并且该技术应被视为实验性的。

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