经尿道前列腺电切术术后膀胱痉挛的防治现状与进展
详细信息    查看全文 | 推荐本文 |
  • 作者:关宇鹏 ; 何丽莉 ; 白志明
  • 关键词:经尿道前列腺电切术 ; 良性前列腺增生 ; 膀胱痉挛 ; 防治
  • 中文刊名:XYZL
  • 英文刊名:Journal of Clinical Medicine in Practice
  • 机构:中南大学湘雅医学院附属海口医院泌尿外科;
  • 出版日期:2017-08-08
  • 出版单位:实用临床医药杂志
  • 年:2017
  • 期:v.21
  • 基金:海南省国际科技合作专项(GJXM201108)
  • 语种:中文;
  • 页:XYZL201715083
  • 页数:5
  • CN:15
  • ISSN:32-1697/R
  • 分类号:238-242
摘要
<正>良性前列腺增生(BPH)是临床上引起中老年男性排尿障碍最常见的进展性疾病,主要症状包括尿频、尿失禁、夜尿增多(储尿期),排尿踌躇、排尿困难(排尿期),排尿不尽、尿后滴沥(排尿后),上述症状严重影响着中老年男性人群的生活质量,故应积极治疗。经尿道前列腺电切术(TURP)现仍被公认为治疗BPH的"金标准"[1],但其术后并发症不容忽视,如经尿道前列腺电切综合征(TURS)、尿道狭窄、出血、膀胱痉挛等,而
        
引文
[1]Albers P I,Albrecht W,Algaba F,et al.EAU guidelines on testicular cancer:2011 update[J].Eur Urol,2011,60(2):304-19.
    [2]Barding A F,Turner W H.The unstable bladder:towards a common mechanism[J].BJU International,1994,73(1):3-8.
    [3]Cucchi A,Achilli M P,Ravasi S,et al.Detrusor instability as an energy-saving device in prostatic obstruction[J].Journal of Urology,1997,157(3):866-870.
    [4]肖剑,吴保忠,刘明建,等.良性前列腺增生相关的膀胱痉挛病因分析及治疗[J].中国医药指南,2015(10):204-204.
    [5]Hsiao S M,Chang T C,Wu W Y,et al.Comparisons of urodynamic effects,therapeutic efficacy and safety of soilfenacin versus tolterodine for female overactive bladder syndrome[J].J Obstet Gynaecol Res,2011,37(8):1084-1091.
    [6]Osamu Y,Osamu N,Masayuki T,et al.Clinical guidelines for overactive bladder[J].J Urol,2009,16(2):126-142.
    [7]Malhotra B,Gandelman K,Sachse R,et al.The design and development of fesoterodine as a prodrug of 5-hydroxymethyl tolterodine(5-HMT),the active metabolite of tolterodine[J].Curr Med Chem,2009,16(33):4481-4489.
    [8]洪辉斌,王乐浩.索利那新在膀胱结石腔内碎石治疗中的应用[J].中国实用医药,2016(07):1-3.
    [9]吴士良,肖云翔,段继宏,等.索利那新治疗尿急及急迫性尿失禁的有效性和安全性分析[J].中华泌尿外科杂志,2009,30(9):630-634.
    [10]张顺,燕翔,刘光香,等.索利那新防治经尿道前列腺电切术后膀胱痉挛的疗效观察[J].现代泌尿外科杂志,2012,17(5):446-449.
    [11]王东,毕玉东,刘晓辉,等.双氯芬酸钾联合安定治疗前列腺术后膀胱痉挛疗效分析[J].中外医学研究,2011,9(16):57-58.
    [12]Duman A,Apiliogullari S,Balasar M,et al.Comparison of50 microg and 25 microg doses of intrathecal morphine on postoperative analgesic requirements in patients undergoing transurethral resection of the prostate with intrathecal anesthesia[J].Journal of Clinical Anesthesia,2010,22(5):329-33.
    [13]徐海波,程丽红.地佐辛与吗啡用于TURP后硬膜外自控镇痛效果比较[J].现代医药卫生,2016,32(02):253-255.
    [14]Ding Y,Li M,Chen L,et al.Combined low dose local anesthetics and opioids versus single use of LA for transurethral urological surgery:a meta-analysis[J].Nigerian Journal of Clinical Practice,2015,18(2):256-62.
    [15]王厚清,徐立新,吴新海,等.经尿道前列腺电切术后应用硬膜外麻醉自控微泵防治术后膀胱痉挛性疼痛及因疼痛而导致的出血[J].现代泌尿生殖肿瘤杂志,2015,7(06):340-342.
    [16]Getller E,Chrubasik J,Graf R.A randomized double-blind comparison of epidual sufentanil vensus intravenous sufentanil or epidural fentanyl analgesia after major abdominal surgery[J].Anesth Analg,1993,76:1243-1247.
    [17]Katada Y,Isogai J.Potential extraperitoneal space continuous with the peri-intestinal space:CT evidence and anatomical evaluation in patients with pneumatosis intestinalis without intestinal ischemia[J].Surgical and Radiologic Anatomy,2009,31(9):2341-2347.
    [18]章明勇,朱汝健,汪官富,等.耻骨后间隙持续镇痛在TURP术后镇痛中的应用(附50例报告)[J].临床泌尿外科杂志,2011,26(08):617-620.
    [19]吕建英,包文朝.耻骨后间隙镇痛治疗前列腺电切术后膀胱痉挛[J].中国现代医生,2013,51(03):138-139.
    [20]张爱建.膀胱黏膜上皮与膀胱过度活动症关系的研究进展[J].国际泌尿系统杂志,2012,32(05):662-665.
    [21]Cruz F.Mechanisms involved in new therapies for overactive bladder[J].Urology,2004,63(3):65-73.
    [22]Mahawong P,Chaiyaprasithi B,Soontrapa S,et al.A role of intravesical capsaicin instillation in benign prostatic hyperplasia with overactive bladder symptoms:the first reported study in the literature[J].Journal of the Medical Association of Thailand,2007,90(9):1821-1827.
    [23]Payne C K,Mosbaugh P G,Forrest J B,et al.Intravesical resiniferatoxin for the treatment of interstitial cystitis:a randomized,double-blind,placebo controlled trial[J].Journal of Urology,2005,173(5):1590-1594.
    [24]Rios L A,Panhoca R,Jr M D,et al.Intravesical resiniferatoxin for the treatment of women with idiopathic detrusor overactivity and urgency incontinence:A single dose,4 weeks,double-blind,randomized,placebo controlled trial[J].Neurourology and Urodynamics,2007,26(6):773-778.
    [25]苗广占,贾民,张晓宇.独一味胶囊联合电针治疗经尿道前列腺电切术后膀胱痉挛的临床观察[J].中国中医急症,2015,24(12):2277-2279.
    [26]曹治列,林考兴,王鑫洪,等.间苯三酚防治经尿道前列腺电切术后膀胱痉挛的疗效及安全性[J].山东医药,2014,54(01):94-95.
    [27]徐玲,周彩梅,刘艳,等.经尿道前列腺电切术后膀胱痉挛原因分析及护理措施[J].世界最新医学信息文摘,2015(27):180-181.
    [28]吴阶平.吴阶平泌尿外科学[M].济南:山东科学技术出版社,2003:1219.
    [29]王静.前列腺电切术后并发膀胱痉挛的原因调查及循证护理的应用价值[J].国际医药卫生导报,2016,22(19):3020-3022.
    [30]张爱建.膀胱黏膜上皮与膀胱过度活动症关系的研究进展[J].国际泌尿系统杂志,2012,32(05):662-665.

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700