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[经尿道前列腺良性增生电切术]

[Transurethral electroenucleation of benign prostatic hyperplasia].

作者信息

Martov A G, Ergakov D V, Andronov A S, Baĭkov N A

出版信息

Urologiia. 2014 Sep-Oct(5):95-101.

Abstract

Currently, the choice of treatment of benign prostatic hyperplasia (BPH) remains one of the most pressing issues of Urology. The study explored the potentials of monopolar electroenucleation of BPH using a monopolar electrode-pusher and standard equipment for transurethral resection. From January to May 2013, 38 patients with infravesical obstruction caused by large BPH underwent transurethral monopolar electroenucleation. The control group (n = 44) consisted of patients who underwent the traditional monopolar transurethral resection of the prostate of the same size. All patients underwent an identical complex of clinical laboratory tests in the preoperative period and 1, 6 and 12 months after surgery. The technical features of the new technique are presented, intraoperative complications are assessed, early and late results and complications are evaluated. It has been established that one of the significant advantages of this method is the ability to remove significant amounts of adenomatous tissue with low risk of bleeding complications.

摘要

目前,良性前列腺增生(BPH)的治疗选择仍然是泌尿外科最紧迫的问题之一。该研究探讨了使用单极电极推送器和经尿道切除术的标准设备进行BPH单极电切术的潜力。2013年1月至5月,38例因巨大BPH导致膀胱下梗阻的患者接受了经尿道单极电切术。对照组(n = 44)由接受相同大小传统单极经尿道前列腺切除术的患者组成。所有患者在术前以及术后1、6和12个月均接受了相同的临床实验室检查综合项目。介绍了新技术的技术特点,评估了术中并发症,评价了早期和晚期结果及并发症。已经确定该方法的一个显著优点是能够切除大量腺瘤组织,且出血并发症风险较低。

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