ããååè
ºåé¤æ¯æå ç§æ¯å¼ï¼ä¼ç¼ºç¹æ¯ä»ä¹?
ãã常è§çå¢çååè
ºåé¤æ¹æ³æå¦ä¸å ç§ï¼
ãã(1)è»éª¨ä¸ç»èè±ååè
ºåé¤æ¯ï¼
ãã(2)è»éª¨åååè
ºåé¤æ¯ï¼
ãã(3)ç»ä¼é´ååè
ºåé¤æ¯ï¼
ãã(4)ç»å°¿éååè
ºçµåæ¯ã
ãã以ä¸ææ¯æ¹æ³åæå
¶ä¼ç¼ºç¹åéåºçï¼åºæ ¹æ®æ£è
æ
åµåå»ç对ææ¯ææ¡çç¨åº¦èéæ©ãå¨å½å¤ç»å°¿éååè
ºçµåæ¯å å
¨é¨ååè
ºææ¯ç90%以ä¸ï¼ä½å¨æå½å¤§å¤æ°å»é¢ä»éç¨å¼æ¾æ§ææ¯æ²»çã
ããå¼æ¾æ§ææ¯ä¸ï¼ä»¥è»éª¨ä¸ç»èè±ååè
ºåé¤æ¯å¼åºç¨æå¤ï¼æ¯æ³å°¿å¤ç§å»çå¿
é¡»ææ¡çåºæ¬ææ¯æ¹æ³ã该ææ¯è¾ç®åï¼å®¹æææ¡ï¼æ¯åå¾å°æ尿失ç¦ï¼èè±å
æå
¶ä»ç
åè
ï¼éæ©è¿ä¸ææ¯æ¹æ³æ´ä¸ºæ°å½ãä½æ¤ææ¯éåå¼èè±ï¼è¥ååè
ºå
èä¸è
ºä½åçç´§å¯ç²è¿ï¼å¶å°ä¼æè£å
èï¼ç»æ¢è¡å¸¦æ¥ä¸å®å°é¾ã
ããè»éª¨åååè
ºåé¤æ¯ä¸éåå¼èè±ï¼å¨ç´è§ä¸æé¤ååè
ºï¼ä¸éä½è»éª¨ä¸èè±é çï¼æ¯åæ¢å¤å¿«ãä½ææ¯è¾å¤æï¼åºè¡è¾å¤ï¼å¤çä¸å½å¯å¼èµ·ææãæ¼å°¿çã
ããç»ä¼é´ååè
ºåé¤æ¯ä¼ç¹æ¯ææ¯èå´å°ãæ伤å°ï¼å¯¹å
¨èº«å½±åå°ï¼æ¯åæ¢å¤å¿«ãä½ä¼é´é¨è§£åå¤æï¼æ¯éæ¾é²è¾å·®ï¼å®¹æé ææ¯åæ§åè½éç¢çã
ããç»å°¿éååè
ºçµåæ¯(TURP)æ伤å°ï¼çè¦å°ï¼æ¢å¤å¿«ï¼ææ¯éåºç宽ãæ¤ç§ææ¯éä¸å®ç设å¤ï¼ä¸å¯¹æ¯è
ææ¯è¦æ±è¾é«ãç®åTURPçæææ好ï¼ä»ç¶æ¯BPHæ²»ççâéæ åâã
ããç»è»éª¨ä¸ååè
ºåé¤æ¯éåºçåç¦å¿çæ¯ä»ä¹?
ãã1887å¹´ç¾å½Belfieldå1988å¹´è±å½McGillæè¿°äºè»éª¨ä¸ååè
ºåé¤æ¯ï¼åæ¥ï¼æ¾³å¤§å©äºHarr isæåºç¼åèè±é¢æ¢è¡ï¼ä½¿è»éª¨ä¸ååè
ºåé¤æ¯å¾å°æ´å¹¿æ³çå¼å±ãPilcherå¨1914å¹´åæåºç¨å°ååè¿«æ³æ¢è¡ï¼ä½¿ææ¯æ¶é´ç¼©çï¼æ¯ä¸æ¯ååºè¡åå°ï¼æ¯å并åçä¹åå°ï¼å
¶ææ¯éåºç为ï¼(1)ååè
ºå¢çç(大äº60å
)å¼èµ·ææ¾çèè±é¢æ¢é»çç¶ï¼æ®ä½å°¿é大äº50毫åï¼åå¤èè±åºè¡ãææçã(2)ååè
ºå¢ççå并èè±ç»ç³ï¼èè±æ©å®¤ï¼ä»¥åä¸å°¿è·¯ç§¯æ°´çã
ããæ¯åå·²æç¡®è¯æ为ååè
ºçï¼æ 论æ¯ä¿å®æ§è¿æ¯æ ¹æ²»æ§ææ¯ï¼åä¸éåè»éª¨ä¸ç»èè±ææ¯éå¾åé¤ã对伴æ严éå¿è¡ç®¡ç¾ç
ãèºé¨é»å¡æææ§ç¾æ£ã严éç³å°¿ç
ãèè¾åè½æ¾èå¼å¸¸åå
¨èº«åºè¡æ§ç¾ç
çï¼å¨æªå¾å°å¾å¥½æ²»çç
æ
稳å®ä¹åï¼æè½ç¶ç»å
ç§ç§¯ææ²»çï¼ä¼°è®¡ç
人é¾ä»¥èåå¼æ¾ææ¯è
ï¼åä¸å®éç¨å¼æ¾æ§è»éª¨ä¸ç»èè±ååè
ºåé¤æ¯ã
ããç»è»éª¨ä¸ååè
ºåé¤æ¯ææ¯è¦ç¹æåªäº?
ãã(1)åå£ ä¸è
¹é¨æ£ä¸åå£ï¼åä¸è¾¾è»éª¨èåä¸ç¼ï¼åå¼ç®è¤ãç®ä¸ç»ç»åè
¹ç´èåéï¼åå¼è
¹ç´èï¼ç´è¾¾è
¹èï¼æ³¨æå¿æ伤è
¹èã
ãã(2)åå¼èè± å°è
¹èåæå头侧æ¨å¼ï¼æ¾é²èè±ãç¨ä¸¤æç»ç»é³çµå¼èè±å£ï¼å¨å
¶é´ç¨å¼¯è¡ç®¡é³æ³ç©¿èè±å¹¶æ©å¤§åå£ï¼ç¨å¸å¼å¨å¸å°½å°¿æ¶²ï¼ç¨æé©çµå¼èè±ï¼æ¢æ¥èè±ï¼æ³¨æååè
ºå¤§å°ï¼ä¾§å¶æä¸å¶çªå
¥å°èè±å
æ
åµï¼å¯»æ¾å¹¶æ³¨æè¾å°¿ç®¡å£ä½ç½®ï¼ææ è¾å°¿ç®¡é´åµ´è¥å¤§ï¼ææ 并åæ©å®¤ãè¿ç¤ä¸ç»ç³çã
ãã(3)ååºå¢çååè
º å¦ä¸å¶è¾å¤§ï¼çªå
¥èè±è
å
ï¼ç¨å°åå弧形åå¼ä¸å¶è
ºä½ä¸èè±é¢äº¤çå¤ç²èï¼è¥ä»
ä»
ååè
ºä¸¤ä¾§å¶å¢çï¼ç´æ¥ç¨å³æé£æ伸å
¥åå°¿éï¼äºä¸¤ä¾§å¶é´åååå
èï¼ä½¿å°¿éç²èè£å¼ï¼ä»æ¤è£å£å两侧å¶æ²¿è
ºä½ä¸âå¤ç§å
èâé´è¿è¡å离ï¼å³å¯å°æ´ä¸ªè
ºä½ååºã
ãã(4)æ¢è¡ ååºè
ºä½åï¼ç¨æé©çµå¼èè±ï¼è¿
éå°çç水纱å¸å¡«å¡ååè
ºçªï¼åè¿«æ¢è¡çº¦5åéå·¦å³ãéæ°æ¶æ¯å°¿éå¤å£ï¼éç¨18ï½22F两è
Foley导尿管ãæ¶ä¸æ¶¦æ»åæå
¥å°¿éãç¨ä¸¤æç»ç»é³åå«å¤¹ä½èè±é¢åç¼5ç¹å7ç¹ååè
ºå¨èåºè¡å¤ï¼ç¨ç²åéåè 线ä½5ç¹ä¸7ç¹å¤8åå½¢ç¼åï¼ç¼ååºç©¿è¿èå±æ·±é¨åâå¤ç§å
èâæ¢è¡æè½ç¡®å®ãé´æç¼åèè±é¢12ç¹3ï½4éï¼è°æ´å¥½å¯¼å°¿ç®¡ï¼æ³¨å
¥çççæ°´15ï½20毫å使çåå
çï¼åå¤çµå¼å¯¼å°¿ç®¡ï¼ä½¿çååè¿«èè±é¢åååè
ºçªä»¥è¾¾å°æ¢è¡ç®çãå¦è¾å°¿ç®¡é´åµ´è¥å¤§ï¼åºåæ¶ä½æ¥å½¢åé¤ãå¨è¿èè±é¡¶é¨çåå£å¤ä½èè±é çï¼å²æ´å¹¶å
³éèè±ï¼è»éª¨åé´éè§ç½®ä¸æ ¹ç¡
è¶å¼æµç®¡åï¼éå±ç¨ä¸çº¿ç¼åè
¹å£åå£ã
ããååè
ºåé¤æ¯åä¸æ¦æé¤å¯¼å°¿ç®¡ï¼å¤è½é¡ºå©æå°¿ï¼å°æ°ç
人çæå°¿ä¸ç
æå¼å§æ尿顺å©ï¼æ°æ¥ååéæ¸åºç°æå°¿å°é¾ï¼å
¶åå æï¼
ãã1.èè±é¢é¨æ°´è¿å¤ç±äºä¹
置导尿管åæ°ååè¿«æè´ï¼æ管åéæ¸åè½»ã
ãã2.èè±é¢ççªï¼ååè
ºå¢ççå并èè±é¢è¥åï¼çº¤ç»´åæååè
ºè¾å¤§ï¼çªç¼è¾é«ï¼èæªä½èè±é¢èå±æ¥å½¢åé¤æåå¼ï¼æ¯ä¸æªè¡èè±é¢è·å
ç¼å以é离è
ºçªï¼æ管æ¶è 线å°æªæ¾å¼ï¼æ¯ååçèè±é¢æ缩ï¼å¼èµ·æå°¿å°é¾ã
ãã3.ååè
ºç»ç»æ®çãè
ºçªææï¼ååè
ºç»èæ§å¢ç并æç²è¿æ¶ï¼æ¯åå¾å¾æç»èæ®çï¼ç»èä½äºååè
ºå°é¨è
çç¶è¾æ©å¤åï¼å度å¢çèè´æå°¿å°é¾ã
ãã4.å°¿éççªï¼å¤åäºæ¯å2ï½6å¨ï¼ä¸ºæ¸è¿æ§ã主è¦ä¸ºå¯¼å°¿ç®¡å¤ªç²ãçç½®è¿ä¹
ãåè¿«å°¿éï¼æå并ççã
ãã5.ç¥ç»æºæ§èè±ï¼æ¯åå并ç¥ç»æ§ç
åï¼æ¯åæªæ¥åºã
ããé¢é²æªæ½ è
ºç¤ååºåï¼è¥èè±åºå£è¾çªæååè¥åè
ï¼åéä½ååèå±æ¥å½¢åé¤ï¼å¹¶å°èè±ç²èç¼åè
ºçªåå£ï¼å½¢æä¸æ¼æå½¢åºå£ï¼èè±é¢åªä½é¨åç¼åçä¸å®½éçåºå£ï¼è®©å¯¼å°¿ç®¡çåå¨èè±å
å°å
¶åè¿«ï¼å¯¼å°¿ç®¡çç½®æ¶é´ä¸è¦å¤ªé¿ï¼å¦å²æ´æ¶²åæ¸
ï¼å¯å¨æ¯å24ï½48å°æ¶è§£é¤çååè¿«ã
åèèµæï¼http://post.baidu.com/f?kz=29186536