CT三维成像在经尿道前列腺扩裂术中应用价值  

Application of multi-slice spiral CT three-dimension imaging technique in the transurethral prostatic splitting operation

作　　者：刘加升[1] 郭应禄[2] 马元华[1] 许正国[1] 张立光[1] 孟召旭 蔡敬国 张广鹏[1] 

机构地区：[1]江苏省沛县中医院泌尿外科,沛县221600 [2]北京大学第一医院泌尿外科

出　　处：《中国男科学杂志》2012年第12期39-41,共3页Chinese Journal of Andrology

摘　　要：目的探讨螺旋CT三维成像（CT3D）在经尿道前列腺扩裂术（TUPS）中应用价值。方法前列腺增生（BPH）患者20例，年龄65～86岁，中位年龄78岁；有排尿困难病史1．5～9年，中位数3年。患者术前、术终、术后10d、术后1年分别行CT3D检查，均采用TUPS手术治疗。结果20例患者均成功行TUPS手术治疗，无术中、术后大出血发生，无需要输血者。20例术前CT3D显示前列腺段尿道狭窄、闭塞；术终CT3D显示棒状水囊一部分位于前列腺尿道段，其余部分位于膀胱内；术后10dCT3D显示前列腺段尿道呈漏斗状改变；术后一年排尿瞬间CT3D显示前列腺段尿道宽敞，排尿通畅连续。结论CT3D可以清晰显示前列腺段尿道及周围情况，对指导开展TUPS手术治疗BPH具有重要意义。Objective To evaluate the applied value of multi-slice spiral CT three dimension imaging technique （CT3D） in the transurethral prostatic splitting operation（TUPS）. Methods All patients with benign prostaic hyperplasia （BPH） underwent CT3D examination at the time before operation, operative termination, 10 days and 1 year after operation. The mean age of 20 patients was 78 years （rang,65＂ 86years）, disease course was 3 years（range, 1.5-9years）. All patients underwent TUPS procedures. Results 20 patients had TUPS successfully, andmo one suffered hemorrhage or needed blood transfusion. On CT3D, the prostatic urethra stenosis or occlude had been shown before operation, a part of clubbed water bag situated in prostatic urethra and other clubbed water bag situated in urinary bladder were demonstrated at operative termination, the funnel typal prostatic urethra at postoperative l0 days, and the spacious and through prostatic urethra at micturating process at postoperative 1 year. Conclusion Inner and peripheral circumstances of prostatic urethra can be clearly displayed using CT3D, which is helpful to improve the effect of TUPS for treatment of BPH.

关 键 词：前列腺增生 外科学 体层摄影术 X线计算机 成像 三维 经尿道前列腺扩裂术 

分 类 号：R697.32[医药卫生—泌尿科学]