目的探讨前列腺增生（BPH）合并膀胱结石同期手术的临床疗效及安全性。方法采用电切镜电切环将结石钩出、气压弹道碎石、小切口膀胱切开取石3种方法治疗膀胱结石,而后采用经尿道前列腺电切术（TURP）治疗BPH并膀胱结石51例。结果效果良...目的探讨前列腺增生（BPH）合并膀胱结石同期手术的临床疗效及安全性。方法采用电切镜电切环将结石钩出、气压弹道碎石、小切口膀胱切开取石3种方法治疗膀胱结石,而后采用经尿道前列腺电切术（TURP）治疗BPH并膀胱结石51例。结果效果良好,切口Ⅰ期愈合、无切口感染、尿漏、尿失禁等并发症,但有4例尿道外口狭窄经行尿道扩张治愈。随访6个月~5年,所有患者排尿通畅,术后最大尿流率〉15 m l,残余尿量〈20 m l,国际前列腺症状评分0~8分,无膀胱结石复发。结论 BPH合并膀胱结石同期手术的治疗：对于膀胱小结石可行电切镜电切环直接将结石钩出;对较大结石行腔内气压弹道碎石;而对大结石或多发性结石从手术时间及安全性来考虑,行小切口膀胱切开取石。根据结石大小及多发情况分别行以上3种方法治疗膀胱结石,而后行TURP,方法简单、创伤小、恢复快、效果确切、安全,值得临床推广应用。展开更多
<strong>Objectives:</strong> <span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">Urinary tract injuries ...<strong>Objectives:</strong> <span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">Urinary tract injuries are a known complication of gynecologic surgery, occurring in 0.18</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">% </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">0.80% of procedures and most commonly involving the bladder. Appropriate identification, evaluation, treatment, and follow-up by gynecologic surgeons are important to reduce the associated long-term morbidities.</span></span></span><span><span><span style="font-family:""> </span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">The purpose of this study was to implement a comprehensive cadaver curriculum in cystotomy repair for OBGYN residents. </span><b><span style="font-family:Verdana;">Methods: </span></b><span style="font-family:Verdana;">This was a prospective observational cohort study including 10 OBGYN residents (PGY1-3) at a single institution in 2020 (56% of the 18 eligible residents). The curriculum consisted of a one-hour didactic lecture and one-hour hands-on surgical skills training with fresh frozen cadavers. Residents were evaluated in three domains: 1) knowledge, 2) surgical skills, and 3) confidence. Knowledge, confidence, and resident satisfaction were evaluated with pre- and post-surveys. The bladder model, derived from the ACOG Simulation Working Group, was used to evaluate surgical skills at baseline and at completion of the curriculum. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">Across all three PGY levels, statistically significant improvement展开更多
文摘目的探讨前列腺增生（BPH）合并膀胱结石同期手术的临床疗效及安全性。方法采用电切镜电切环将结石钩出、气压弹道碎石、小切口膀胱切开取石3种方法治疗膀胱结石,而后采用经尿道前列腺电切术（TURP）治疗BPH并膀胱结石51例。结果效果良好,切口Ⅰ期愈合、无切口感染、尿漏、尿失禁等并发症,但有4例尿道外口狭窄经行尿道扩张治愈。随访6个月~5年,所有患者排尿通畅,术后最大尿流率〉15 m l,残余尿量〈20 m l,国际前列腺症状评分0~8分,无膀胱结石复发。结论 BPH合并膀胱结石同期手术的治疗：对于膀胱小结石可行电切镜电切环直接将结石钩出;对较大结石行腔内气压弹道碎石;而对大结石或多发性结石从手术时间及安全性来考虑,行小切口膀胱切开取石。根据结石大小及多发情况分别行以上3种方法治疗膀胱结石,而后行TURP,方法简单、创伤小、恢复快、效果确切、安全,值得临床推广应用。
文摘<strong>Objectives:</strong> <span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">Urinary tract injuries are a known complication of gynecologic surgery, occurring in 0.18</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">% </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">0.80% of procedures and most commonly involving the bladder. Appropriate identification, evaluation, treatment, and follow-up by gynecologic surgeons are important to reduce the associated long-term morbidities.</span></span></span><span><span><span style="font-family:""> </span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">The purpose of this study was to implement a comprehensive cadaver curriculum in cystotomy repair for OBGYN residents. </span><b><span style="font-family:Verdana;">Methods: </span></b><span style="font-family:Verdana;">This was a prospective observational cohort study including 10 OBGYN residents (PGY1-3) at a single institution in 2020 (56% of the 18 eligible residents). The curriculum consisted of a one-hour didactic lecture and one-hour hands-on surgical skills training with fresh frozen cadavers. Residents were evaluated in three domains: 1) knowledge, 2) surgical skills, and 3) confidence. Knowledge, confidence, and resident satisfaction were evaluated with pre- and post-surveys. The bladder model, derived from the ACOG Simulation Working Group, was used to evaluate surgical skills at baseline and at completion of the curriculum. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">Across all three PGY levels, statistically significant improvement
