手术治疗伴逼尿肌乏力的前列腺增生症  

Operation in BPH with acontractile detrusor

作　　者：曾子健[1] 康颂东 陈新辉[1] 

机构地区：[1]武警湖南省总队医院泌尿外科,湖南长沙410006

出　　处：《中国现代医学杂志》2004年第20期92-93,共2页China Journal of Modern Medicine

摘　　要：目的探讨BPH并有逼尿肌乏力(ACD)的病人是否手术等问题,为BPH并有逼尿肌乏力的病人治疗方法的选择提供依据。方法对尿动力学检查确认有ACD的15例BPH进行手术治疗。手术后复查尿流率。对所得数据进行自身配对t检验。结果术前和术后最大尿流率分别为(3.3±3.1)ml/s和(14.88±6.08)ml/s(P<0.05)。结论在前列腺摘除后,BPH伴有逼尿肌乏力的病人也能够产生有效排尿。故对确有膀胱出口梗阻(BOO)存在的BPH病人,即使有逼尿肌收缩乏力,也应积极手术。Objective: To find out the foundation through that we could choose a proper treatment for patient with BPH with acontractile detrusor (ACD). Methods: 15 patients with BPH with ACD certified by urodynamics were operated. After operation uroflowmetry was reexamined in all patients. Results: The preoperative and the postoperative mean maximumflow rates were (3.3±3.1) ml/s and (14.88±6.08) ml/s respectively. Self-comparative studies were performed and it showed a significant difference (P<0.05). Conclusions: It indicates that the patients with BPH and acontractile detrusor can effectively urinate after the enlarged prostate is resected. In the patient with BPH, despite of the lower detrusor pressure, we ought to perform an operation on patient with BPH when bladder outlet obstruction (BOO) is confirmed.

关 键 词：前列腺增生症 尿动力学 逼尿肌乏力 手术 

分 类 号：R697.32[医药卫生—泌尿科学]