Application of urinary endoscopy through suprapubic cystostomy in prostatectomy
经耻骨上膀胱造瘘途径泌尿内镜在前列腺剜除术中的应用

摘要

目的 探讨经耻骨上膀胱造瘘途径泌尿内镜在前列腺剜除术中的应用方法及临床效果。方法 选取2020年1月至2020年12月我院收治的良性前列腺增生患者60例，作为本次研究对象。所有患者均在泌尿内镜经耻骨上膀胱造瘘途径检查下进行等离子前列腺剜除术，研究该种方法对良性前列腺增生患者的临床治疗效果。结果 经过数据分析可以发现，60例良性前列腺增生患者均按照规范的操作流程，在泌尿内镜经耻骨上膀胱造瘘途径检查下顺利完成等离子剜除术，且在术后无一例并发症情况，经一期愈合治愈出院。而通过对患者的临床指标进行统计可得，患者的平均手术时间为（65.24±1.03）min，术后平均冲洗时间为（2.01±1.31）d，平均留置尿管时间为（5.13±1.29）d，平均住院时间为（6.85±1.01）d。结论 将泌尿内镜经耻骨上膀胱造瘘途径检查方法应用于前列腺剜除术中，可以更加全面细致地观察良性前列腺增生患者的病症问题，使患者的临床治疗效果及手术安全性均得到较好的改善，令患者的术后冲洗时间、手术时间和留置尿管时间大大缩减。为良性前列腺增生患者的早日出院，起到良好的促进作用，值得在今后的临床诊治工作中进一步推广。

Abstract

Objective: To explore the application method and clinical effect of urinary endoscopy through suprapubic cystostomy in prostatic enucleation.
Methods: A total of 60 patients with benign prostatic hyperplasia admitted to our hospital from January 2020 to December 2020 were selected as the subjects of this study. All patients underwent plasma prostatic enucleation under urinary endoscopy via suprapubic cystostomy to study the clinical effect of this method on patients with benign prostatic hyperplasia.
Results: After data analysis, it can be found that all 60 patients with benign prostatic hyperplasia completed the plasma enucleation successfully under uroendoscope and suprapubic cystostomy in accordance with the standard operating procedures, and there was no postoperative complication. He was cured and discharged after primary healing. And through the statistics of the clinical indicators of the patient, the average operation time of the patient is (65.24±1.03) min, the average postoperative washing time is (2.01±1.31) d, and the average indwelling catheter time is (5.13±1.29) d , The average length of stay was (6.85±1.01) days.
Conclusion  : The application of urinary endoscopy via suprapubic cystostomy approach to prostatic enucleation can provide a more comprehensive and detailed observation of the symptoms of patients with benign prostatic hyperplasia, so that the clinical treatment effect and surgical safety of the patients can be compared. Good improvements have greatly reduced the patient's postoperative washing time, operation time and indwelling catheter time. It plays a good role in promoting the early discharge of patients with benign prostatic hyperplasia and is worthy of further promotion in future clinical diagnosis and treatment.