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前列腺、膀胱肿瘤及结石的超声抽吸术。进展报告。

Ultrasonic aspiration of prostate, bladder tumors, and stones. Progress report.

作者信息

Krawitt D R, Addonizio J C

机构信息

Department of Urology, New York Medical College, Valhalla.

出版信息

Urology. 1987 Dec;30(6):579-80. doi: 10.1016/0090-4295(87)90441-9.

DOI:10.1016/0090-4295(87)90441-9
PMID:3686776
Abstract

The projected advantages of ultrasonic surgery on prostate, bladder tumors, and stones are: (1) precise histologic diagnosis without microscopic distortion as occurs with electrocautery; (2) continuous uninterrupted surgery; (3) improved hemostasis; (4) protection of external sphincter; (5) easy surgical technique to learn; (6) adaptability for video TUR; (7) can remove bladder stones and perform TURP at one sitting; (8) no fear of bladder wall injury during lithotripsy since stone is sucked to aspirator for dissolution; (9) no electrical burns or obturator reflex since electricity is not used to resect.

摘要

超声手术在前列腺、膀胱肿瘤及结石治疗方面的预期优势包括:(1)能进行精确的组织学诊断,不会像电灼那样造成微观结构扭曲;(2)手术过程连续不间断;(3)止血效果更佳;(4)可保护外括约肌;(5)手术技术易于学习;(6)适用于视频经尿道前列腺切除术;(7)可一次性完成膀胱结石取出及经尿道前列腺切除术;(8)碎石过程中无需担心膀胱壁损伤,因为结石会被吸至吸引器进行溶解;(9)由于不使用电切除,不会发生电灼伤或闭孔神经反射。

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