Kết quả nội soi bóc nhân quá sản lành tính tuyến tiền liệt bằng dao điện đơn cực qua đường niệu đạo=Outcomes of monopolar transurethral enucleation of the prostate

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Văn Phương Bùi, Đình Liên Nguyễn, Duy Trí Dũng Nguyễn, Thế Thịnh Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.78-83

Bộ sưu tập: Metadata

ID: 242598

Thêm vào giỏ

Đánh giá kết quả nội soi bóc nhân quá sản lành tính tuyến tiền liệt bằng dao điện đơn cực qua đường niệu đạo. Đối tượng và phương pháp: Quan sát mô tả 86 bệnh nhân được phẫu thuật nội soi bóc nhân quá sản lành tính tuyến tiền liệt bằng dao điện đơn cực qua đường niệu đạo tại khoa Phẫu thuật Tiết niệu & Nam học Bệnh viện E từ tháng 6/2022 đến tháng 6/2023. Kết quả: 86 bệnh nhân có độ tuổi trung bình là 72,5 tuổi. Điểm IPSS và chất lượng cuộc sống (QoL) trước mổ là 26,6 và 5,1. Thể tích tuyến tiền liệt là 66,4ml trong đó có 25 trường hợp tuyến tiền liệt từ 80ml trở lên. Nồng độ trung bình PSA trước phẫu thuật là 9,84 ng/ml. Thời gian phẫu thuật là 86,5 phút với 32,2ml mô tuyến tiền liệt được bóc ra và rửa hết 8,57 can sorbitol. Có 14 trường hợp gặp biến chứng trong mổ (16,28%). Thời gian lưu sonde niệu đạo là 6,67 ngày và thời gian nằm viện sau mổ là 8,76 ngày. Có 10 trường hợp gặp biến chứng sớm sau mổ (11,63%), chủ yếu là nhiễm khuẩn tiết niệu (7,1%). Điểm IPSS sau phẫu thuật 1 và 3 tháng lần lượt là 18,8 và 11,2. Điểm QoL sau phẫu thuật 1 và 3 tháng lần lượt là 2,92 và 2,33. Kết luận: Nội soi bóc nhân quá sản lành tính tuyến tiền liệt bằng dao điện đơn cực qua niệu đạo là phương pháp an toàn và hiệu quả.To evaluate the outcomes of monopolar transurethral enucleation of the prostate (mTUEP). Subjects and methods: A retrospective study was conducted on 86 patients who underwent mTUEP for benign prostatic hyperplasia at the Department of Urology & Andrology of Hospital E from June 2022 to June 2023. Results: A total of 86 patients were included, the mean age of the patients was 72.5 years. The mean preoperative International Prostate Symptom Score (IPSS) and quality of life (QoL) were 26.6 and 5.1, respectively. The mean prostate volume was 66.4 ml, with 25 patients having a prostate volume of 80 ml or more. The mean preoperative PSA level was 9.84 ng/ml. The mean operative time was 86.5 minutes, with 32.2 ml of prostatic tissue resected and 8.57 cans of sorbitol irrigated. There were 14 intraoperative complications (16.28%). The mean duration of urethral catheterization was 6.67 days and the mean length of hospital stay was 8.76 days. There were 10 early postoperative complications (11.63%), mainly urinary tract infections (7.1%). The mean IPSS at 1 and 3 months postoperatively was 18.8 and 11.2, respectively. The mean QoL at 1 and 3 months postoperatively was 2.92 and 2.33, respectively. Conclution: Transurethral monopolar electrocautery resection of benign prostatic hyperplasia is a safe and effective procedure.

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1. Đọc trực tuyến

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