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病人与方法:诊断为BPH引起的急性或慢性尿潴留45例,年龄50～93岁。除合并有癌变和尿道狭窄以外,41例用本法治疗。治疗前留置导尿管时间1～8年,25例已知残余尿量200-2500ml(平均1000ml),25例有心肺或神经系统功能紊乱。膀胱内灌入0.01%洗必太液150-300ml,经B超排除肿瘤和结石后测出前列腺长度,选择一个比此长度长10～15mm的螺旋线圈以保证其头部位于膀胱内,常规消毒后像插普通导尿管一样将其插入,它的前进和正确位置都由经腹B超来确定。插入前均预防性应用抗生素,插入后只是在有明显细菌尿时才用抗生素。结果:一次插入成功25例,10例在前列腺部受阻,6例改用内镜插入,4例未再插。在12个月的随访期中,
Patients and Methods: 45 cases diagnosed as BPH-induced acute or chronic urinary retention, aged 50 to 93 years old. In addition to the merger of cancer and urethral stricture, 41 cases treated with this method. Pre-treatment indwelling catheter time of 1 to 8 years, 25 cases of known residual urine volume 200-2500ml (average 1000ml), 25 cases of cardiopulmonary or nervous system disorders. The bladder was infused 0.01% washed with too solution 150-300ml, after the tumor and stones removed by B ultrasound to measure the length of the prostate, select a longer than the length of 10 ~ 15mm spiral coil to ensure that the head in the bladder, routine disinfection After insertion like a normal catheter, its advancement and correct location are determined by transabdominal ultrasound. Pre-introduction of prophylactic antibiotics, only after the insertion of significant bacterial urine with antibiotics. Results: 25 cases were successful in one insertion, 10 cases were blocked in the prostate, 6 cases were replaced by endoscopy, and 4 cases were not inserted. During the 12-month follow-up period,