[膀爆炸的临床和实验室特征:尿道外前列腺手术的罕见并发症]
V Zubkov I1,2,3,4, A Sevryukov F1,2,3,4, V Goloviznin Yu1,2,3,4
1FGBOU VO Kirov State Medical University of the Ministry of Health of the Russian Federation, Kirov, Russia.
Urologiia (Moscow, Russia : 1999)
|September 12, 2025
概括
前列腺经尿道切除 (TUR) 期间膀爆炸与前列腺大和爆炸性甲气体的形成有关. 持续的气体疏散和谨慎的手术技术是预防这种严重并发症的关键.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术并发症 手术并发症
- 医疗器械技术 医疗器械技术
背景情况:
- 良性前列腺增生 (BPH) 是一种普遍的疾病,需要手术干预.
- 尿道外切除 (TURis) 和核切除 (TUEB) 是常见的BPH治疗方法.
- 膀爆炸是这些程序中罕见但严重的并发症.
研究的目的:
- 在经尿道前列腺手术期间调查膀爆炸的危险因素.
- 制定一个手术策略来控制膀爆炸.
- 分析手术期间膀气体成分.
主要方法:
- 程序使用了PLASMA系统,配备了26 Fr切除镜和高频发电机.
- 采用了标准的透尿管双极核化 (TUEB) 和切除 (TURis) 技术.
- 在手术期间的膀气体样本使用气相色谱进行了分析.
主要成果:
- 在手术期间的膀气体中检测到甲,以及一氧化碳和二氧化碳.
- 检测到的气体混合物具有爆炸性,在与切除镜环接触时被点燃.
- 膀爆炸风险与大前列腺有关,无论设备的设置如何.
结论:
- 在TUR期间膀爆炸与大前列腺和手术内气体组成有关.
- 管理策略取决于膀破裂的程度.
- 预防措施包括持续的体内气体疏散和仔细的电极管理.
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