摘要
目的 :探讨国产前列腺内支架治疗前列腺增生引起的排尿困难的临床疗效及并发症。方法 :42例前列腺增生引起的排尿困难的患者 ,植入 46枚前列腺内支架。支架均为国产镍钛记忆合金编织而成。结果 :42例均一次植入成功 ,36例植入支架后立即自行排尿 ,5例因前列腺增生过大前列腺尿道部过长或支架位置不理想 ,植入一个支架后 ,排尿仍有困难 ,再次植入第二个支架后 ,立即自行排尿 ,但 2例出现长期尿失禁 ;1例伴有糖尿病的患者 ,植入支架 1周后排尿困难未改善 ,而进行外科手术治疗。 36例生活质量评估 (QOL)从术前 6min降到术后 0～ 3min ,其中 2 9例术后随访6～ 2 1个月 ,国际前列腺症状评分 (IPSS)术前 (2 7.49± 4 .2 1 )ml/s,术后 (6 .89± 3 .76)ml/s(P <0 .0 0 1 ) ,最大尿流率术前(1 .78± 3 .89)ml/s,术后 (1 3 .91± 3 .56)ml/s(P <0 .0 0 1 )。结论 :国产前列腺内支架治疗良性前列腺增生引起的排尿困难 ,是一种安全。
Objective:To investigate clinical value and complications of home made intraprostatic stents in the treatment of dysuria resulting from prostatic hyperplasia.Methods:Forty six home made intraprostatic stents were placed into intraprostatic urethra in 42 patients.Clinical effects and complications were observed.Results:The stents were placed successfully for the first time in 42 patients.Dysuria resolved immediately after one stent placement in 36 patients,while dysuria remained in 5 patients because of either severe prostatic hyperplasia or inappropriate site of the stent.In 5 patients with remaining dysuria,dysuria resolved after the second stent placement.Dysuria remained in one patient with diabetes mellitus after stent placement and surgery was needed.After successful placement of the stent,the International Prostate Symptom Score decreased from a mean of (27.49±4.21)ml/s to (6.89±3.76)ml/s ( P <0.001),and the mean maximum flow rates increased from (1.78±3.89)ml/s to(13.91±3.56)ml/s ( P <0.001). Conclusion:Home made intraprostatic stent was a safe and effective method for the treatment of dysuria resulting from prostatic hyperplasia.
出处
《放射学实践》
2003年第5期322-324,共3页
Radiologic Practice
