作者： Rao, Jian-Ming;Xiao, Heng-Jun;Ren, Yi-Xin（任毅馨）;Ding, Ping;He, Jiang;...

期刊： International Urology and Nephrology,2014年46(11):2063-2070 ISSN：0301-1623

通讯作者： Yang, JR

作者机构： [Ren, Yi-Xin; Ding, Ping; Yan, Yong-Li; Rao, Jian-Ming; Yang, Jing-Hua; He, Jiang] Hunan Tradit Chinese Med Univ, Dept Urol, Hunan Prov Peoples Hosp 2, Changsha 410007, Hunan, Peoples R China.;[Xiao, Heng-Jun] Sun Yat Sen Univ, Affiliated Hosp 3, Dept Urol, Guangzhou 510630, Guangdong, Peoples R China.;[Yang, Jin-Rui; Yang, JR] Cent S Univ, Dept Urol, Xiangya Hosp 2, Changsha 410011, Hunan, Peoples R China.

通讯机构： [Yang, JR ] C;Cent S Univ, Dept Urol, Xiangya Hosp 2, Changsha 410011, Hunan, Peoples R China.

关键词： antibiotic agent;hemoglobin;low molecular weight heparin;warfarin;aged;antibiotic therapy;anticoagulant therapy;Article;bladder irrigation;bladder neck contracture;blood transfusion;clinical evaluation;contracture;controlled study;drug substitution;drug withdrawal;erythrocyte transfusion;follow up;hemoglobin blood level;hospitalization;human;International Prostate Symptom Score;major clinical study;male;medical record review;operation duration;outcome assessment;plasmakinetic enucleation of the prostate;postoperative complication;postoperative hemorrhage;postoperative period;postvoid residual urine volume;prostate hypertrophy;prostate size;prostate weight;prostatectomy;quality of life;resectoscope;stress incontinence;transrectal ultrasonography;urethra stricture;urethral catheter;urethral catheterization;urinary tract infection;urine flow rate;urine incontinence;urine retention;echography;electrosurgery;organ size;pathology;procedures;prostate;prostatectomy;Prostatic Hyperplasia;retrospective study;treatment outcome;Aged;Electrosurgery;Follow-Up Studies;Humans;Male;Organ Size;Postoperative Complications;Prostate;Prostatectomy;Prostatic Hyperplasia;Retrospective Studies;Treatment Outcome

摘要： Objective: To evaluate surgical complications and outcomes based on prostate size in patients with benign prostatic hyperplasia (BPH) treated with plasmakinetic enucleation of the prostate (PKEP).Methods: A retrospective review was conducted of PKEP performed between July 2008 and January 2013. According to the prostate size on preoperative transrectal ultrasonography measurement, patients were divided into three groups: group 1: <40ml, group 2: 40–80ml and group 3: >80ml. Baseline, perioperative and postoperative data were obtained.Results: There were significant differences among the three groups regarding the mean operative time (p<0.001) and the mean resected tissue weight (p<0.001). But enucleation efficiency (p<0.001) in gm tissue per minute increased significantly as prostate size increased. Mean hemoglobin decrease (p>0.05), mean postoperative irrigation time (p>0.05), mean catheter time (p>0.05) and mean hospital stay (p>0.05) did not differ significantly among three groups. The three groups had a similar and significant postoperative improvement in International Prostate Symptom Score, quality of life, maximum uroflow rate and post-void residual urine volume independent of prostate size (p<0.001), but no significant difference was found among three groups at the 12-month follow-up (p>0.05). Perioperative and postoperative complications did not depend on prostate size (p>0.05).Conclusions: Although patients with a larger BPH required significantly longer operation time in PKEP, prostate size did not affect perioperative and postoperative complications or micturition improvement. © 2014, Springer Science+Business Media Dordrecht.

语种： 英文

作者： 江锋;任毅馨（任毅馨）;陈合群;丁平;杨精华

期刊： 医学临床研究,2013年(9):1844-1845,1846 ISSN：1671-7171

作者机构： 湖南省脑科医院泌尿外科，湖南中医药大学临床医学院，湖南 长沙 410007;中南大学湘雅医院泌尿外科,湖南 长沙,410008;[任毅馨; 杨精华; 丁平; 江锋] 湖南省脑科医院;[陈合群] 中南大学湘雅医院

关键词： 前列腺增生/外科学;尿道/外科学

摘要： [目的]比较经尿道前列腺等离子腔内剜除术（PKEP）与经尿道前列腺等离子切除术（PKRP）治疗良性前列腺增生症（BPH）的临床疗效及安全性。[方法]将68例 BPH 患者分成两组，分别行 PKEP 术（35例）和 PKRP 术（33例）。[结果]PKEP 组手术时间、血红蛋白下降量、留置导尿管时间、住院天数显著少于PKRP 组（P ＜0．05），前列腺切除重量显著大于 PKRP 组（P ＜0．05）。术后3个月两组国际前列腺症状评分（IPSS）、最大尿流率（Qmax）、生活质量评分（QOL）、残余尿量（PVR）较自身术前显著改善（P ＜0．001），组间比较差异无统计学意义（P ＞0．05）。[结论]PKEP 与 PKRP 相比，近期手术疗效相近，但 PKEP 具有更好的安全性。

语种： 中文

作者： 江锋;任毅馨（任毅馨）;陈合群;丁平;杨精华

期刊： 中国医师杂志,2013年15(3):409-410 ISSN：1008-1372

作者机构： 湖南省第二人民医院泌尿外科 湖南中医药大学临床医学院,长沙,410007;中南大学湘雅医院泌尿外科;[任毅馨; 杨精华; 丁平; 江锋] 湖南省第二人民医院;[陈合群] 中南大学湘雅医院

关键词： 输尿管镜检查;输尿管结石/治疗;碎石术,激光/方法;钬/治疗应用

摘要： 目的 探讨输尿管镜下NTrap网篮配合钬激光碎石术治疗输尿管上段嵌顿结石的临床疗效及安全性.方法 采用输尿管镜下NTrap网篮配合钬激光碎石术治疗输尿管上段嵌顿结石108例,对治疗的临床效果及安全性进行分析总结.结果 单次碎石成功率93.5％ (101/108).手术时间和术后住院时间分别为(46.8±15.3)min和(3.6±1.2)d.4例术中改行微创经皮肾镜取石术(MPCNL)；2例结石上移入肾内,术后行体外冲击波碎石(ESWL)治愈；1例肾内残石,未作处理.无输尿管穿孔、撕裂等严重并发症发生.结论 NTrap网篮配合钬激光治疗输尿管上段嵌顿结石,单次碎石成功率高、并发症少、住院时间短、术后恢复快,是一种较好的腔内碎石方法.

语种： 中文