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自1995年以来我院采用经尿道电切加气化术治疗前裂腺增生症48例,现报道如下。一、临床资料患者年龄56～77岁。伴有心脑疾患者9例,伴有糖尿病者8例,伴有肾功不全者4例。术前采用直肠指检及B超诊断为前列腺增生症。Ⅱ度增生37例,Ⅲ度增生11例。手术时间在30～80分钟之间。术中生化监测血钠最低者降至132mmol/L,没有出现水中毒的表现。48例术中均未输血。术终留置三腔气囊导管。术后1天拔管18例,2天拔管30例。患者排尿通畅,未出现尿失禁等并发症,效果良好。
Since 1995, our hospital transurethral resection plus gasification in the treatment of 48 cases of anterior proliferative gland hyperplasia, are reported below. First, the clinical data of patients aged 56 to 77 years. 9 patients with cardiovascular and cerebrovascular disease, 8 patients with diabetes, and 4 patients with renal insufficiency. Preoperative rectal examination and B-ultrasound diagnosis of benign prostatic hyperplasia. Ⅱ degree hyperplasia in 37 cases, Ⅲ degree hyperplasia in 11 cases. Surgery time in 30 to 80 minutes. Intraoperative biochemical monitoring lowest serum sodium dropped to 132mmol / L, did not appear the performance of water poisoning. No blood transfusion in 48 cases. The end of the three-chamber balloon catheter. Extubation in 18 cases after 1 day, extubation in 2 days in 30 cases. Patients urination patency, no complications such as incontinence, the effect is good.