镍钛记忆合金支架用于前列腺增生伴尿潴留高危患者效果观察
发布时间：2019-02-27 09:41
【摘要】：目的观察镍钛记忆合金支架用于前列腺增生(BPH)伴尿潴留高危患者的效果。方法选择BPH伴尿潴留高危患者514例,均不能实施腰椎麻醉或全身麻醉,于局麻下行镍钛记忆合金支架尿道置入;分别于术后3、6、12、24个月,行国际前列腺症状评分(IPSS)、生活质量评分(QOL),检查最大尿流率(Qmax)、残余尿量(RUV)。结果患者均一次性成功置入支架,手术时间(4.27±1.40)min,导尿时间(1.53±0.74)d;术后出现血尿12例、尿路刺激征26例;与术前比较,术后各时点IPSS下降,QOL下降,Qmax水平升高,RUV减少,P均0.05。结论在麻醉条件限制下,镍钛记忆金网状支架尿道置入可用于BPH伴尿潴留高危患者的治疗。
[Abstract]:Objective to observe the efficacy of Ni-Ti memory alloy stent in the treatment of benign prostatic hyperplasia (BPH) with high risk of urinary retention. Methods A total of 514 patients with high risk of BPH with urinary retention were selected. None of them could perform lumbar anesthesia or general anesthesia, and the nickel-titanium memory alloy stent was placed in the urethra under local anesthesia. At 3, 6, 12, 24 months after operation, the (Qmax), residual urine volume (RUV).) was examined by the International Prostate symptom score (IPSS), quality of Life score (QOL), and maximum urine flow rate (MRR). Results all patients were successfully placed stents at one time, the operation time was (4.27 卤1.40) min, the time of catheterization was (1.53 卤0.74) days, the postoperative hematuria occurred in 12 cases, and the urinary tract irritation in 26 cases. Compared with pre-operation, IPSS decreased, QOL decreased, Qmax increased and RUV decreased at all time points after operation (P < 0.05). Conclusion under the condition of anesthesia, Niti memory gold mesh stent can be used in the treatment of BPH patients with high risk of urinary retention.
【作者单位】： 上海交通大学医学院附属同仁医院;
【分类号】：R699.8
，
本文编号：2431339
[Abstract]:Objective to observe the efficacy of Ni-Ti memory alloy stent in the treatment of benign prostatic hyperplasia (BPH) with high risk of urinary retention. Methods A total of 514 patients with high risk of BPH with urinary retention were selected. None of them could perform lumbar anesthesia or general anesthesia, and the nickel-titanium memory alloy stent was placed in the urethra under local anesthesia. At 3, 6, 12, 24 months after operation, the (Qmax), residual urine volume (RUV).) was examined by the International Prostate symptom score (IPSS), quality of Life score (QOL), and maximum urine flow rate (MRR). Results all patients were successfully placed stents at one time, the operation time was (4.27 卤1.40) min, the time of catheterization was (1.53 卤0.74) days, the postoperative hematuria occurred in 12 cases, and the urinary tract irritation in 26 cases. Compared with pre-operation, IPSS decreased, QOL decreased, Qmax increased and RUV decreased at all time points after operation (P < 0.05). Conclusion under the condition of anesthesia, Niti memory gold mesh stent can be used in the treatment of BPH patients with high risk of urinary retention.
【作者单位】： 上海交通大学医学院附属同仁医院;
【分类号】：R699.8
，
本文编号：2431339
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