新型螺旋形热膨胀前列腺支架治疗良性前列腺增生的初步尝试  

Clinical application of a new spiral thermo-expandable prostatic stent

作　　者：朱延军[1] 郭剑明[1] 王杭[1] 杨念钦[1] 胡骁轶[1] 龙启来[1] 赵奇[1] 

机构地区：[1]复旦大学附属中山医院泌尿外科,上海200032

出　　处：《中国临床医学》2017年第1期83-85,共3页Chinese Journal of Clinical Medicine

摘　　要：目的:观察Memokath前列腺支架治疗良性前列腺增生导致尿潴留的临床疗效及安全性。方法:2016年10月对2例因良性前列腺增生导致反复尿潴留的患者采用膀胱软镜前列腺支架植入术。患者年龄分别为61岁、80岁,术前均为保留导尿状态,IPSS评分为26分、24分,前列腺体积分别为33.4mL、32.9mL。结果:2例患者手术顺利,手术时间分别为30min、20min,术后即恢复自主排尿,术后3周和1周复查残余尿阴性,IPSS 6分、12分,最大尿流率24mL/s、14mL/s。2例患者均未出现尿失禁、尿路感染、支架移位等并发症。结论:Memokath新型螺旋形热膨胀前列腺支架治疗前列腺部位的尿路梗阻操作简便、安全、疗效确切,远期疗效和并发症有待进一步观察。Objective：To investigate the clinical efficacy and complications of Memokath prostatic stent in the treatment of urinary retention due to benign prostatic hyperplasia.Methods：Two BPH patients （age 61 and 80 years）had Memokath prostatic stent inserted with flexible cystoscopy in October,2016.Both of them were in urethral catheter indwelling status.Pre-operative International Prostate Symptom Score （IPSS）were 26 and 24 respectively.Prostate volumes were 33.4 and 32.9 mL.Results：Both patients were successfully operated,and the operation time were 30,20 min,respectively.Both patients regained the ability of spontaneous urination immediately after operation.The postoperative PVR was negative three weeks and one week after operation.IPSS were 6 and 12.Maximum flow rates were 24,14 mL/s.No serious complications such as urinary incontinence, urinary tract infection and stent dislocation were observed in both patients. Conclusions：Memokath spiral thermo-expandable prostatic stent is simple,safe,and effective in the treatment of urinary tract obstruction in the prostate.Further observation is necessary for long-term efficacy and complications.

关 键 词：良性前列腺增生 前列腺支架 尿潴留 

分 类 号：R697.3[医药卫生—泌尿科学]