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近年来内镜手术有了惊人的发展,前列腺增生或前列腺癌引起的排尿障碍通常采用经尿道电切术(TUR)。但对有出血倾向的患者或患有严重合并症的高龄者行TUR时,常因出血而陷于被动或因视野不清而发生穿孔、尿道括约肌损伤和TUR综合征等并发症。本文介绍的经尿道前列腺微波凝固术,包括单纯微波凝固法,即应用微波照射前列腺使其凝固坏死解除梗阻和TUR前辅助微波凝固法,即先行凝固术,后行TUR-P。前者侵袭小,适合于危险性大的患者。但微波凝固后坏死组织完全脱落尚需一定时间,较TUR前辅助微波凝固法放置Foley导尿管时间长。后者的
In recent years, endoscopic surgery has astonishing development, prostatic hyperplasia or prostate cancer caused by voiding dysfunction usually by transurethral resection (TUR). However, patients with bleeding tendency or elderly patients with severe complications of TUR, often due to bleeding due to passive or unclear vision due to perforation, urethral sphincter injury and TUR syndrome and other complications. This article describes the transurethral microwave coagulation of the prostate, including simple microwave coagulation method, that is, the application of microwave irradiation coagulation and necrosis of the prostate obstruction and TUR assisted microwave coagulation method, that is, first coagulation, TUR-P after. The former invasion is small, suitable for patients with high risk. However, after microwave coagulation necrosis tissue completely off takes some time, compared with TUR assisted microwave coagulation method placed Foley catheter for a long time. The latter’s