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一个程序式的方法,以双极系统的前列腺的ENBLOC跨尿道取核:一个单一中心的回顾性报告

Peng Lai^1,2, Ying Lu^3,4, Weihong Lu^4,5

¹Department of Urology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, China, laipeng46@126.com.

Urologia internationalis

|November 11, 2024

概括

前列腺封闭式通过尿道排卵 (TUEB) 是对良性前列腺增生 (BPH) 的安全有效的程序. 较长的下泌尿道症状 (LUTS) 持续时间可能预测早期的压力尿失禁 (SUI) 风险.

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

背景情况:

良性前列腺增生症 (BPH) 影响着老年男性人口的很大一部分.
通过尿道切除前列腺核 (TUEB) 是BPH的常见手术治疗方法.
En bloc TUEB提供了一种系统的方法,在有效性和安全性方面具有潜在的优势.

研究的目的:

通过双极系统评估前列腺封闭式顺尿道内核切除 (TUEB) 的有效性和安全性.
为了确定与早期压力性尿失禁 (SUI) 相关的风险因素,在 en bloc TUEB.

主要方法:

追溯分析88名BPH患者接受封闭式TUEB.
数据收集包括术后和随访临床参数.
根据SUI的发生情况分析患者,重点关注临床特征和LUTS持续时间.

主要成果:

整体TUEB表现出良好的结果:平均手术时间为113.1分钟,切除腺体重量为58.0g,血红蛋白下降为14.3g/L.
观察到高核化率 (79.00%) 和效率 (0.54 g/min),PSA显著降低 (42.08%).
早期SUI发生在26.13%的患者中,74%的患者在1个月内缓解;没有持续的SUI. LUTS持续时间是一个重要的预测指标. 在IPSS,QoL和残留尿量方面,有显著的改善.

结论:

En bloc TUEB是一种有效,实用,高效和安全的BPH手术,并发症最小.
该程序适用于标准化和广泛采用.
术前LUTS持续时间是早期术后SUI风险的有价值预测指标.

关键词:

双极系统是双极系统.在一块块上.压力性尿失禁是压力性尿失禁.通过尿道去除前列腺细胞核.

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