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目的 探讨应用自行设计改进的复合高压水囊系列导管经尿道扩裂术治疗前列腺增生症的疗效及安全性。方法 导管为膨胀直径30~#~38~# 10种型号。应用硬膜外麻醉并保留导管术后止痛。62例患者应用本系列导管治疗均得到观察和随访。结果 3~5 d拔管后54例排尿良好,5例尿失禁,3例一过性,另2例1个月后恢复。8例拔管后不能排尿,再导尿15 d恢复排尿。结论 本法是一种简便、安全、有效的方法,适应于包括中叶增生在内的各种程度增生的病人。
Objective To explore the application of self-designed and improved composite high-pressure balloon catheter transurethral dissection in the treatment of benign prostatic hyperplasia efficacy and safety. Methods for the expansion of the catheter diameter of 30 ~ # ~ 38 ~ # 10 models. Apply epidural anesthesia and retain catheter for pain relief. 62 patients were treated with this series of catheters were observed and followed up. Results After extubation, 54 cases had good urination, 5 cases of urinary incontinence, 3 cases of transient extubation, and the other 2 cases recovered after 1 month. 8 cases of extubation can not urinate, catheterization and then urination 15d. Conclusion This method is a simple, safe and effective method to adapt to various degrees of proliferation, including middle-grade hyperplasia patients.