共查询到20条相似文献，搜索用时 247 毫秒
1.
目的：探讨经尿道等离子切除术联合钬激光碎石治疗前列腺增生症合并膀胱结石的效果。方法：回顾性分析都安瑶族自治县人民医院于2018年1月至2022年5月收治的82例前列腺增生症合并膀胱结石患者，将采用经尿道等离子切除术联合气压弹道碎石治疗的40例患者归为参照组，42例应用经尿道等离子切除术联合钬激光碎石治疗的患者为研究组。对两组手术相关指标、治疗效果、术后并发症发生情况以及生活质量进行比较。结果：研究组手术指标均优于参照组，术后两组平均尿流率、最大尿流率、残余尿量均明显改善，但两组差异无统计学意义（P>0.05）；研究组术后6 h、12 h、24 h视觉模拟评分（VAS）均比参照组低，研究组结石排净率与并发症发生率均较参照组低，研究组生活质量各维度评分均较参照组高（P<0.05）。结论：经尿道等离子切除术联合钬激光碎石可有效改善前列腺增生症合并膀胱结石患者临床症状，且有助于减轻术后疼痛，手术指标较优，治疗效果值得肯定，术后并发症发生风险较低，对患者生活质量的提升有积极意义。 相似文献
2.
目的：探讨经尿道前列腺气化电切（TUVP）治疗前列腺增生症（BPH）的临床效果。方法：采用电气化加修切法施行经尿道前列腺电气化术治疗BPH60例。结果：全部患者手术均获成功，平均手术操作时间40min，平均留置导尿时间3．5天，平均住院日5．5天。结论：TUVP是治疗BPH的有效方法，比经尿道前列腺电切术（TUPR）更具广泛的应用优势，但必须具有良好的技术及解剖基础，同时要熟练气化电切镜的各种功能及操作过程。 相似文献
3.
对350例前列腺增生患者的超声诊断分析 总被引：1，自引：0，他引：1
目的:探讨超声对前列腺增生症(BPH)的诊断价值。方法:应用腹部超声及经直肠超声对350例前列腺增生症患者及150例正常对照组的前列腺进行超声检查。结果:350例声像图全部表现前列腺移行区增大,部分合并增生结节及结石或囊肿。其中前列腺径线无明显变化者有20例。结论:超声检查前列腺增生症便捷,有很大的优势;同时超声检查不应局限于径线的扩大,而要重于内部结构的改变。 相似文献
4.
目的：探讨良性前列腺增生症经尿道前列腺电切术后并尿失禁的原因。方法翻阅病案资料,随机选取2011年1月-2013年1月广西中医药大学第一附属医院良性前列腺增生症行前列腺电切术病人330例。术后回访6个月-1年,平均回访8个月。结果共出现尿失禁21人,发生比例为6.3%。其中,轻度尿失禁4.5%,压力性尿失禁1.2%,完全性尿失禁0.6%。结论经尿道前列腺电切术较为大多数病人所接受,是治疗良性前列腺增生症的理想方法。术后尿失禁是一种多因素综合作用的结果,部分尿失禁是由于医源性造成,需引起重视,大多数的病人可以在短时间内恢复。 相似文献
5.
良性前列腺增生症是临床上常见的疾病,针对该疾病的早期治疗以药物为主,伴随医疗技术的不断发展,当前微创治疗手段日益增多,临床上相继出现经尿道前列腺电切汽化术、针刺消融术、等离子双极电切术等,为良性前列腺增生症患者提供了更多的选择,文章对良性前列腺增生症微创治疗的临床研究和进展进行总结,以供参考. 相似文献
6.
7.
目的探讨高原地区等离子双极电切术治疗良性前列腺增生症的护理模式以及围手术期的护理措施。方法回顾性分析2012年4月至2012年12月期间,在西藏自治区人民医院外三科行等离子双极电切术(TUPKP)治疗良性前列腺增生症的31例患者的临床资料。结果本组31例患者均痊愈出院,住院时间7～14d,术后均无大出血、电切综合征以及护理并发症出现。结论规范、高效的护理模式以及优质的围手术期护理配合是提高手术成功、减少术后并发症的关键措施。 相似文献
8.
目的：探讨治疗慢性前列腺炎的有效方法。方法选择259例慢性前列腺炎，其中细菌性167例，非细菌性85例，前列腺痛9例。采用综合方法治疗4周，比较治疗前后慢性前列腺炎症状评分及前列腺常规变化，并分析治疗效果欠佳原因。结果：经治疗4周后，慢性前列腺炎症状评分明显减少，前列腺液白细胞明显减少，卵磷脂小体明显增加，治疗总有效率为74.1％，其中细菌性为79％，非细菌性为67．5％，前列腺痛为44．4％，67例治疗无效，其原因主要有细菌耐药、生活无节制，前列腺有结石，纤维化，精神因素等。结论：多种方法综合应用是治疗慢性前列腺炎的有效方法，治疗无效时应寻找原因对因综合治疗。 相似文献
9.
前列腺增生可致肾衰竭前列腺增生症是一种良性病变,前列腺癌为恶性病变。两者可以同时存在,但互相之间没有因果关系。前列腺增生症所引起的症状首先是尿频、夜间排尿次数增多。病变进一步发展则会使膀胱的形态和功能受到损坏,随之发生急慢性尿潴留并继发膀胱结石和尿路感染。 相似文献
10.
前列腺肥大又称前列腺增生症,是中老年男性的常见病。前列腺肥大的主要症状是因膀胱颈被肥大的前列腺夹持、阻塞,出现排尿困难等现象。扑尔敏是大多数感冒药中的一种成分,具有消除或减轻流泪、 相似文献
11.
Fifty patients were evaluated for serum total PSA (Prostate Specific Antigen), free PSA (f-PSA), free/total PSA ratio (f/t
PSA ratio) and TPSTM (Tissue Polypeptide Specific Antigen). Fifty patients were clinically evaluated and categorized into BPH (benign prostatic
hypertrophy) and CaP (carcinoma prostate) with twenty-five in each category before the serological examination. Serum total
PSA concentration is elevated in 80% of BPH cases while it was elevated in all cases of CaP. With total PSA>10ng/mL, f/t PSA
ratio was not applicable. For TPSTM, a cell proliferation marker these values were 32% and 92% respectively. The advanced cases of CaP were reflected by the
pronounced elevations of PSA and TPStM while f/t PSA ratio was much below the cut-off limit (cut-off limit=0.14). The data suggest that whentotal PSA concentration
<10ng/mL, f/t PSA ratio plays a very important role in discriminating BPH and CaP. However, TPSTM can be used as a valuable adjunct in diagnosis and follow-up of prostate cancer patients, especially in differentiating benign
from malignant cases. 相似文献
12.
T. Malati G. Rajani Kumari P. V. L. N. Murthy Ch. Ram Reddy B. Surya Prakash 《Indian journal of clinical biochemistry : IJCB》2006,21(1):34-40
Prostate Specific Antigen (PSA) has emerged as the most applicable and important tumor marker for carcinoma prostate. In the
present study PSA was determined in serum of healthy subjects, patients of benign prostate hypertrophy (BPH) and Carcinoma
Prostate (Ca−P) to evaluate its diagnostic efficiency in day to day management of prostate cancer patients and in differentiating
patients of early prostate cancer from those with BPH. Receiver operating characteristic curve (ROC) revealed 2 ng/ml and
10 ng/ml cut off serum PSA level for BPH and untreated carcinoma prostate patients (Ca−P). An extremely significant increase
(P<0.0001) was observed in mean PSA concentration in BPH patients and adenocarcinoma prostate patients when compared to healthy
males. Clinical relevance of PSA was highlighted by a case study of cancer patient prior to any therapy till death. 相似文献
13.
Indian ethnicity by itself is a strong risk factor for development of CAD in Indian postmenopausal women due to lower HDL
levels as compared to Whites and women of oriental origin. We evaluated and compared the short-term effects of menopause,
estrogen replacement therapy and combined estrogen and progestin replacement therapy on various atherogenic indices. 40 postmenopausal
women, both surgical and natural (20 each) were selected. 10 surgical postmenopausal women were given 0.625 mg conjugated
estrogens daily for 6 months and 10 natural postmenopausal women were given 0.625 mg conjugated estrogen with 2.5 mg medroxyprogesterone
acetate daily. 20 women were included in the control group and given placebo. Fasting venous blood samples were analyzed for
extended lipid profile and calculated atherogenic indices before starting the therapy and after 1,3 and 6 months. LDL and
Apolipoprotein B increased (p<0.05) and those of Apolipoprotein A1 and HDL decreased in the control groups. In both the study
groups levels of serum cholesterol and LDL decreased (p<0.05) and those of HDL and Apolipoprotein A1 increased (p<0.01). LDL/HDL,
Apo B/ApoA1, Total Cholesterol/HDL decreased significantly (p<0.05) in both the study groups compared to the control groups.
The effect of estrogen alone was more significant as compared to combination therapy. Log Triglycerides (TG)/HDL ratio showed
a decrease in women on estrogen alone but the difference was not significant. Our study confirms that short term HRT has a
favorable effect on atherogenic indices in Indian postmenopausal women. 相似文献
14.
目的：建立百令颗粒质量标准的测定方法。方法：色谱柱为迪马C184.6×250mm,5μ;柱温：室温;流动相：0.04mol/L磷酸二氢钾-乙腈（95：5）,流速1.0ml/min,检测波长260nm。结果：百令颗粒制剂能较好的分离,且线性良好（r=1）,表明腺苷在0.02μg～0.22μg范围内具有良好线性关系。平均回收率（n=6）为98.53%,相对标准偏差1.33%;样品溶液在12小时内稳定。结论：方法简便,重复性好,适用于该产品含量测定。 相似文献
15.
对６３８例宫颈糜烂病人采用液氮冷冻法门诊治疗,经过半年至３年的观察,治愈率达到９８％以上,说明液氮冷冻对治疗宫颈糜烂疗效令人满意,可以考虑作为目前临床治疗宫颈糜烂的首选方式。 相似文献
16.
Kavita K. Shalia V. K. Shah M. R. Mashru S. L. Soneji J. B. Vasvani S. Payannavar A. Walvalkar R. Mokal S. S. Mithbawkar M. Bootwalla P. Sadvekar P. K. Thakur 《Indian journal of clinical biochemistry : IJCB》2010,25(2):133-140
Matrix metalloproteinases (MMPs) play important role in the pathogenesis of coronary artery disease (CAD). 5A allele of -1612 5A/6A polymorphism of MMP-3 is associated with two fold higher activity than 6A allele. Present study was designed to analyse the association of this polymorphism with CAD in Indian population. Subjects included in the study were patients with stable angina (n=35), unstable angina (n=53), patients with recent event of myocardial infarction (MI) (MI Group-1, n=56) and patients at presentation of the acute MI (MI Group-2, n=49). Controls were healthy individuals (n=99). Genotyping of MMP-3 5A/6A polymorphism was carried out by PCR-based restriction digestion method. The genotype distribution of patient groups did not deviate from controls. Serum MMP-3 levels were significantly elevated at presentation of the acute MI by 36.8% (P=0.031) as compared to controls and more associated with 6A genotype suggesting discrepancy between in vitro transfection experiment and peripheral MMP-3 levels. 相似文献
17.
Jeevan K. Shetty Mungli Prakash Mohammad S. Ibrahim 《Indian journal of clinical biochemistry : IJCB》2008,23(1):67-70
Free iron in serum has been found in several disease conditions including diabetes. In the present work, we studied the relationship
between free iron, fasting blood glucose (FBG) and glycated haemoglobin (HbA1c). Study was carried out on 50 type 2 diabetes cases under poor glycemic control associated with complications, 53 type 2
diabetes cases under good glycemic control and 40 healthy controls. We estimated free iron, both ferrous (Fe+2) and ferric (Fe+3) form, protein thiols, lipid hydroperoxides, FBG, HbA1c and serum ferritin levels in serum. There was a significant increase
in free iron in Fe+3 state (p <0.01), HbA1c (p<0.01), serum ferritin (p<0.01), lipid hydroperoxides (p<0.01) and significant decrease in protein thiols (<0.01) in diabetes
cases under poor glycemic control compared to diabetes cases under good glycemic control and healthy controls. Free iron correlated
positively with HbA1c (p<0.01). Poor glycemic control and increase in glycation of haemoglobin is contributing to the increase in free iron pool
which is known to increase oxidant generation. 相似文献
18.
Lippi G Cervellin G Aloe R Montagnana M Salvagno GL Guidi GC 《Biochemia medica : ?asopis Hrvatskoga dru?tva medicinskih biokemi?ara / HDMB》2012,22(1):127-129
Introduction:
The measurement of cardiospecific troponins is pivotal in the diagnostic and prognostic approach of patients with suspected acute myocardial infarction (AMI). However, no information is available on the commutability of results between the novel highly-sensitive (HS) troponin T (TnT) and I (TnI) immunoassays.Materials and methods:
The study population consisted in 47 consecutive patients presenting at the emergency department (ED) of the Academic Hospital of Parma with suspected AMI. TnI was measured with the novel prototype Beckman Coulter HS-AccuTnI immunoassay on Access 2, whereas TnT was measured with the Roche HS-TnT immunoassay on Cobas.Results:
Eight out of the 47 patients (17%) were finally diagnosed as having an AMI. The overall correlation between TnT and TnI for total patient group was acceptable (r = 0.944; P < 0.01). Nevertheless, when the analysis of data was carried out in separate groups according to the final diagnosis of AMI, two different equation results were obtained, i.e., HS-TnT = HS-AccuTnI × 0.349 + 20 (r = 0.823; P < 0.01) in non-AMI patients, and HS-TnT = HS-AccuTnI × 0.134 + 67 (r = 0.972; P < 0.01) in those with AMI.Conclusions:
This study suggests the existence of two biological relationships between TnI and TnT in plasma, depending on the source of release from the myocardium. Moreover, the non-commutability of data between HS-TnT and HS-AccuTnI jeopardizes the clinical decision making, makes it impossible to calculate the delta or reference change value using the two biomarkers and to finally establish a reliable kinetics of troponin release from the injured myocardium. 相似文献19.
目的:探讨多节段腰椎间盘突出的责任节段的定位方法及椎间孔镜下治疗的疗效观察。方法:从2014年1月至2015年12月,对收治的共32例多节段腰椎间盘突出患者,其中男性18例,女性14例;年龄49~77岁,平均58岁,所有病例均采用选择性神经根封闭术定位责任节段,其中27例患者再据责任节段行椎间孔镜下治疗。术前、术后均采用日本骨科协会(Japanese orthopaedic association.JOA)评分及视觉模拟疼痛评分法(visual analoguescale,VAS)评分对手术效果进行评估。结果:选择神经根封闭术后有5例患者未再行椎间孔镜下治疗,其中有3例患者疼痛减轻不明显,暂不行微创手术;另外2例患者症状明显减轻,拒绝进一步手术。27例患者均顺利完成手术,无感染、神经根损伤等并发症,所有患者术后随访,观察术后1个月、3个月、6个月,VAS评分较术前均明显降低(P0.05),JOA评分较术前均明显增高(P0.05),差异有统计学意义。结论:对于多节段腰椎间盘突出,先选择神经根封闭术明确责任节段,再行椎间孔镜下治疗能有效缓解患者症状,且手术创伤小,并发症少。 相似文献
20.
Matteo Vidali Vincenza Bianchi Marco Bagnati Nadia Atzeni Andrea Marco Bianchi Giorgio Bellomo 《Biochemia medica : ?asopis Hrvatskoga dru?tva medicinskih biokemi?ara / HDMB》2014,24(1):175-179