采用SKATER导管行膀胱造瘘在高危前列腺电切术中的作用

目的：评价SKATER一步法膀胱造瘘管在经尿道前列腺电切术（TuRP）中的作用及临床意义。方法：收集接受TURP治疗的38例高危、大体积BPH患者临床资料，其中同时行SKATER一步法膀胱造瘘术18例、不行膀胱造瘘术20例。比较两组手术时间、切除组织量、出血量、术后拔尿管时间、住院时间等指标。结果：两组患者的TURP与膀胱造瘘术均顺利完成。膀胱造瘘组一步法膀胱穿刺造瘘手术时间（3．0±0．5）min。两组术中出血量、切除腺体体积相近（P〉0．05），均无患者发生水中毒或其他前列腺电切综合征。膀胱造瘘组TURP手术时间、术后拔除尿管时间以及住院时间均比非膀胱造瘘组明显缩短（P均〈0．05）。术后随访3个月-2年患者恢复均较好，排尿均顺畅，无尿道狭窄，无尿失禁。结论：高危、大体积BPH患者在TURP术中应用一步法膀胱造瘘，效果良好，操作简便，术后恢复较快。

The role of SKATER one-step cystoctomy tube in the operation of transurethral resection of the prostate in high-risk patients

Objective： To evaluate the role of SKATER tube one-step cystoctomy in the operation of transurethral resection of the prostate （TURP） in high-risk patients with big-size prostate. Methods： A retrospective analysis of 38 high-risk patients with big-size prostate received TURP operations were enrolled. Suprapubic cystostomy was performed in 18 cases, while the other 20 cases with cystostomy. The operating time, resected prostatic tissue volume, blood loss, the time of urinary catheter retraction and the average hospital stay were compared. Results： All the suprapubic cystostomy and TURP operations were completed successfully. The operative time of one-step cystotomy was 3.0 ± 0. 5min. There was no significant difference in intraoperative blood loss or resected prostate volume between the two groups （P 〉 0. 05）. No water intoxication or transurethral resection of prostate syndrome reported. The TURP surgery time, catheter retraction time and hospital stay in cystostomy group was significantly shortened （ P 〈 0. 05）. During the follow-up of 3 months to 2 years, no urethrastricture or urinary incontinence was reported. Conclusion： Using the SKATER tube in one-step cystotomy in high-risk TURP patients with big-size orostate is easily ooerated and orovides satisfied outcome with shorter recovery time.