模型实验提示经尿道前列腺剜除术更容易造成术后尿失禁
China Continuing Medical Education(2015)
Abstract
目的:比较经尿道前列腺剜除术与经尿道前列腺电切术对尿道括约肌牵拉长度,从而了解哪种手术方法更容易造成术后尿失禁。方法自制简易模型模拟经尿道前列腺电切术及经尿道前列腺剜除术,同时录像,回放录像,按比例尺测定尿道括约肌牵拉长度。结果简易模型模拟前列腺电切术对尿道括约肌牵拉最长1.8 cm,简易模型模拟经尿道前列腺剜除术对尿道括约肌牵拉最长6.2 cm。结论经尿道前列腺剜除术对尿道括约肌损伤大于经尿道前列腺电切术,更容易造成术后尿失禁;适当先电切膀胱颈部前列腺组织,再做剜除有利于减少经尿道前列腺剜除术术后尿失禁。
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Key words
Benign prostatic hyperplasia,Transurethral enucleation,Transurethral resection,Postoperative incontinence
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