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[前列腺间“部分导管”(泌尿外科螺旋管)II]

[The interprostatic "partial catheter" (urologic spiral) II].

作者信息

Fabian K M

出版信息

Urologe A. 1984 Jul;23(4):229-33.

PMID:6540921
Abstract

The intraprostatic partial catheter or the so-called "Urological Spiral" (US) is a novel development which was first used and tested with suitable urological patients in May 1978. - The "Urological Spiral" which is made of coiled rust-proof steel and can be used for implantation purposes can give unimpaired spontaneous miction back to patients where an operative removal of the prostatic urethra occlusion (caused by prostate adenoma or prostate carcinoma) has not been feasible by the therapeutic methods known so far. With inlying US the physiological valve function of the urethra makes a spontaneous healing up of an ascending bladder infection possible caused by ascension. The patency of the prostatic urethra is optimally secured by the shape und the elastic construction of the US. Judging from the experiences gained so far there are no essential contra-indications and the complication rates are very low. Insertion and removal of the US can be carried out by common urological instruments as e.g. urethroscope and elastic foreign-body removing forceps. There is no danger for the patient. The inserting and the removing of the US take place under local anaesthesia of the bladder and cause no discomfort to the patient.- This treatise ist the first to report on the experiences of the regular use of the intraprostatic partial catheter (US) on a larger number of patients and it is the first to give a critical assessment. The present construction has been considerably improved compared to the first prototypes of 1978.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

前列腺内部分导管,即所谓的“泌尿外科螺旋管”(US),是一项新进展,于1978年5月首次用于合适的泌尿外科患者并进行测试。——“泌尿外科螺旋管”由盘绕的防锈钢制成,可用于植入,对于因前列腺腺瘤或前列腺癌导致前列腺尿道阻塞,而目前已知的治疗方法无法进行手术切除的患者,它能使患者恢复正常的自主排尿。留置US时,尿道的生理瓣膜功能可使上行性膀胱感染因感染上行而自发愈合。US的形状和弹性结构能最佳地确保前列腺尿道的通畅。根据目前所获得的经验,没有重大禁忌证,并发症发生率很低。US的插入和取出可通过普通的泌尿外科器械,如尿道镜和弹性异物取出钳进行。对患者没有危险。US的插入和取出在膀胱局部麻醉下进行,不会给患者带来不适。——本论文首次报告了在大量患者中定期使用前列腺内部分导管(US)的经验,并首次进行了批判性评估。与1978年的首批原型相比,目前的结构有了很大改进。(摘要截选至250字)

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