经尿道前列腺解剖性剜除术

腺体切除干净、复发率低

良性前列腺增生患者案例分析

一位80高龄老人,有严重前列腺增生300克,出现急性尿潴留,于是转诊到南方医科大学珠江医院。该院泌尿外科主任刘春晓教授用独创经尿道前列腺解剖性剜除术,为患者切除增生组织,小便恢复畅通,术后老人形容自己好像回到5-6岁,想尿就能尿。
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前列腺增生始于20岁,几乎每个男性都会有

刘春晓教授介绍,前列腺增生是中老年男性的常见疾病之一,年龄越大发病率越高。60岁的男性80%都会有不同程度的前列腺增生,到了70岁则90%的男性都会发生。如果患者不在意,不检查不治疗,临床病症主要表现为:

早期表现夜尿多,睡眠不会好

中期表现排尿困难,出现急性尿潴留

晚期表现可能损伤肾功能,造成肾积水或发生尿毒症

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效果更好的手术方式——经尿道前列腺解剖性剜除术

刘春晓教授表示,对症状严重、药物控制欠佳的患者,之前手术方法是经尿道前列腺电切术。但这传统手术很难将前列腺增生腺体切除干净。特别对于体积较大的前列腺,将遗留更多的增生腺体,过后会继续增生造成症状复发。临床发现,传统前列腺电切术后病人一般在5-7年内会复发。因此刘春晓在临床实践中发明了一种效果更好的手术方式——经尿道前列腺解剖性剜除术。这一手术的理论与操作已获得了国内外泌尿外科专家的认可,极大地降低了术后前列腺增生复发的风险。
Level:腺体体积80ml
功率为150w
术中刘春晓教授先用钝性撬膜方式撬出左侧腺体,并结合珠峰红激光点对点非接触式止血,再用150瓦功率快速汽化+切除方式切开中叶,右侧叶也用撬膜+止血方式,整个手术包括粉碎用时25分钟。
Level:腺体体积140ml
功率为80w
术中徐阿白教授运用80W的功率进行切割,并运用了珠峰红激光的非接触式止血方式和机关枪扫射法止血方式(物理原理:血红蛋白吸收980nm波段激光能量的物理止血法,对周围组织没有损伤)。

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