摘要
目的讨论应用等离子体外系统(PKS)行经尿道前列腺剜除术(PKEP)中保持膀胱颈完整性的意义。方法本组PKEP373例,年龄64～95岁,平均75．9岁。用Gyrus PKS及内窥镜系统,生理盐水作工作介质和冲洗液。将增生腺瘤于外科包膜内剜除,明确界限、阻断血供,尔后将其切除。术中不切断膀胱颈横行肌纤维,保持其完整性。并对照同期TURP及SPP组手术结果探索其临床意义。结果本组病例均顺利出院．排尿畅。术后1月平均Qmax(18．1±3．9)ml/s。术后2例发生尿失禁,分别在4～6月后恢复,无永久性尿失禁发生。对术前有正常性生活的52例患者随访中有1例逆向射精主诉。结论PKEP术保持膀胱颈完整性不影响排尿通畅。是否有助于减少逆向射精发生率有待于进一步研究。
Objective To discuss the significance of keeping bladder neck integrality in Transurethral Enucleation of Prostate with PKS （PKEP）. Methods 373 cases of PKEP were in this group. The range of patients＇ age was between 64-95 years old （ mean 75.9）. Gyrus Plasma-Kinatic System and endoscope system was used. Normal Saline solution acted as the working medium and irrigating fluids. The prostatic adenoma was enucleated firstly in the surgical capsule, then resected. During this procedure, the limits between the adenoma and the surgical capsule was affirmed and the blood supply was blocked. The transversal muscle fibre was not cut off, so the integrality of bladder neck was keeped. Results All of the patients underwent their operation successfully, passed their water comfortably and were out of hospital. Mean Qmax was （18.1±3.9）ml/s at one month after operation. Two patients had incontinence, and had gotten the recovery in 4 months after the operation. One patient had retro-ejaculation postoperatively in 52 cases of follow-up. Conclusion Keeping the integrarity of bladder neck does not disturb the clear urination of patients in PKEP. Whether it help to lower the morbility of retro-ejaculation should be further researched.
出处
《中国男科学杂志》
CAS
CSCD
2006年第6期25-27,共3页
Chinese Journal of Andrology
