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transurethral
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  transurethral
This study suggests that high intravesical pressure during transurethral surgery might enhance bacterial adherence to urothelium and thereby increase the risk of manifest infection in the postoperative course.
      
Antibiotic prophylaxis in transurethral surgery: A comparison of sulbactam-ampicillin and cefoxitin
      
The efficacy and safety of perioperative prophylaxis with sulbactam-ampicillin or cefoxitin was compared in a prospective randomized double-blind study of 103 patients undergoing transurethral surgery.
      
It is concluded that sulbactam-ampicillin and cefoxitin are equally effective and safe in preventing postoperative urinary tract infection in transurethral surgery.
      
Antimicrobial prophylaxis in transurethral surgery
      
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Of the 81 patients aged over 75 treated between 1961-1982, 64 were between 75-79 years old and 17 between 80-92, all of them coexisted with various intercurrent diseases, the circulatory and respiratory being most cemmon. All were submitted to surgical treatment. The operative mothods are as follows: suprapubic 34, retropubic 35. transurethral 4 (with one failure, reoperated by cystostomy), perineal 2. permanent cystostomy 7.The principle clinical characteristics of the prostatic hypertrophy in advanced...

Of the 81 patients aged over 75 treated between 1961-1982, 64 were between 75-79 years old and 17 between 80-92, all of them coexisted with various intercurrent diseases, the circulatory and respiratory being most cemmon. All were submitted to surgical treatment. The operative mothods are as follows: suprapubic 34, retropubic 35. transurethral 4 (with one failure, reoperated by cystostomy), perineal 2. permanent cystostomy 7.The principle clinical characteristics of the prostatic hypertrophy in advanced aged patients, the methods of operation and the experiences obtained, the measures of preventing post-operative complications and further reduction of mortality rate were all briefly summarized and discussed.

本文对我院1961~1982年5月间施行手术的81例75岁以上前列腺增生病人进行总结.其中75~79岁64例,80~92岁17例。所有病例在手术前都同时存在合并其它疾病,最多为循环和呼吸系统疾病,81例均应用不同的手术方法进行治疗,耻骨上前列腺摘除术34例,耻骨后前列腺摘除术35例,经尿道切除术4例(其中1例因效果差而作膀胱造瘘术),经会阴部切除术2例及永久性膀胱造瘘术7例,并对各种手术方法治疗的结果进行了比较,本组死亡率为4.93%,作者总结了高龄前列腺增生病例的临床特点、手术及治疗经验,并对术后并发症的预防和减低死亡率扼要进行讨论。

In this paper, 10 cases of transurethral prostatic electroresection in patients with prostatic hyperplasia were reported. All of them had their urine free and clear postoperatively. One case with incontinence of urine recovered spontaneously one month later. Two cases with prostatic residures recovered after having electro-resection twice. Some secondary bleeding occurred in one case and lasted for one day. In two cases, interstitial extravasation occurred from the suprapubic abdominal wall during contineuous...

In this paper, 10 cases of transurethral prostatic electroresection in patients with prostatic hyperplasia were reported. All of them had their urine free and clear postoperatively. One case with incontinence of urine recovered spontaneously one month later. Two cases with prostatic residures recovered after having electro-resection twice. Some secondary bleeding occurred in one case and lasted for one day. In two cases, interstitial extravasation occurred from the suprapubic abdominal wall during contineuous bladder irrigation, where the cystostomy was performed percutanously. The extravasation had been absorbed two days after drainage was modified. The problems of indications after transurethral prostatic electroresection, patterns of irrigation, method of this operation, etc. were discussed too.

本文报告10例前列腺增生症患者行经尿道前列腺电切术,术后均能排尿通畅。1例尿失禁一月后自愈;2例前列腺残留经二次电切而愈;1例术后19天继发少量出血;2例术中耻骨上经皮穿刺置管膀胱造口行连续冲洗发生腹壁间隙尿外渗,经改善引流2日内吸收。本文对尿道前列腺电切术的指征、冲洗方式和手术方法等问题提出讨论。

By using real time ultrasound scanner, transurethral ultrasonic scanning was done to stage 14 tumors in 8 cases of bladder transitional epithelioma. According to the criteria of ultrasound staging, the images of tumors showed stage U1 in 1 tumor, stage U2 in 8, stage U3 in 4 and stage U4 in 1. Comparing with histopathological staging, the ultrasound findings correlated with the clinical and histopathologicaal results in all instances except 1 with histopathological stage T2 which was classified sonographically...

By using real time ultrasound scanner, transurethral ultrasonic scanning was done to stage 14 tumors in 8 cases of bladder transitional epithelioma. According to the criteria of ultrasound staging, the images of tumors showed stage U1 in 1 tumor, stage U2 in 8, stage U3 in 4 and stage U4 in 1. Comparing with histopathological staging, the ultrasound findings correlated with the clinical and histopathologicaal results in all instances except 1 with histopathological stage T2 which was classified sonographically as stage U3. In conclusion, intravesical ultrasound tomography is a reliable supplement to cystoscopy in staging bladder carcinoma.

采用介入性实时超声显象仪,经尿道对8例14枚膀胱移行上皮肿瘤按照超声分期标准作检查分期。其中U_1者1枚,U_2者8枚,U_3者4枚,U_4者1枚。与临床及病理检查的分期对照,仅1枚超声为U_3超过病理的T_2者外,余均相符。作者认为经尿道膀胱腔内超声作为膀胱镜的一种补充,是膀胱肿瘤术前分期较为可靠的方法。

 
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