通过TUEB循环用于大良性前列腺增生:一个回顾性队列研究
Jun Hagiuda1, Tsukasa Masuda2, Ryohei Takahashi2
1Department of Urology, Tokyo Dental College, Ichikawa General Hospital, Sugano 5-11-13, Ichikawa, Chiba, 2728513, Japan. hagiudaj@tdc.ac.jp.
World journal of urology
|March 21, 2024
概括
双极系统 (TUEB) 通过尿道内核切除是良性前列腺增生 (BPH) 手术的有效和安全方法,无论前列腺大小如何. 这种TUEB循环技术提供了高的核化效率,使其成为管理大前列腺的最佳选择.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
- 手术技术 手术技术
背景情况:
- 良性前列腺增生症 (BPH) 影响了大量的老年男性.
- 双极系统 (TUEB) 的尿道外核化是BPH的常见手术治疗方法.
- 前列腺大小可以影响手术干预的选择和结果.
研究的目的:
- 通过使用专门的循环来评估双极系统 (TUEB) 通过尿道输出细胞核的疗效和安全性.
- 为了评估TUEB的表现,不论前列腺体积 (PV).
主要方法:
- 一组251名接受TUEB的患者被分为小PV (≤80毫升) 和大PV (>80毫升) 组.
- 两组人群之间的人口统计数据和治疗结果的比较分析.
- 评估操作时间,核化效率和功能结果.
主要成果:
- 虽然大型PV组的操作,核化和化时间较长,但核化效率和PSA降低率更高.
- 这两组在12个月后在国际前列腺症状评分,最大流量和空虚后残留尿液方面均显著改善.
- 不需要输血,并发症率 (凝块保留,尿道狭窄,尿失禁) 在两组之间相似.
结论:
- 带有专用循环的TUEB在所有前列腺大小的BPH手术中表现出高满意度,效率和安全性.
- 对于不对药物反应的大型BPH病例,TUEB是强烈推的外科选择.
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