经尿道治疗小前列腺增生引起的膀胱出口梗阻  

Transurethral management of bladder outlet obstruction caused by benign prostatic hyperplasia of small volume

作　　者：付炼 胡华[1] 

机构地区：[1]重庆市第五人民医院泌尿外科,400062

出　　处：《重庆医学》2007年第14期1371-1371,1374,共2页Chongqing medicine

摘　　要：目的探讨小前列腺增生引起的膀胱出口梗阻的治疗方法。方法回顾性病例对照分析良性前列腺增生(切除重量<10g)患者163例。经尿道前列腺切除术(TURP)58例;经尿道前列腺切除加膀胱颈内切开术(TURP+TUIBN)105例;两组患者年龄、病程、前列腺重量及手术切除重量均无明显差异。比较手术前、后两组IPSS与Qmax。随访时间2～12个月。结果术前TURP组IPSS为24.9±4.2,Qmax为(5.8±2.9)ml/s;TURP+TUIBN组IPSS为25.8±4.7,Qmax为(6.1±3.4)ml/s;两组IPSS及Qmax相比差异无统计学意义(P>0.05)。术后TURP组IPSS为13.5±3.4,Qmax为(9.1±3.1)ml/s;TURP+TUIBN组IPSS为6.1±3.2,Qmax为(19.3±3.2)ml/s;两组IPSS及Qmax比较差异有统计学意义(P<0.01)。结论TURP+TUIBN治疗小前列腺增生引起的膀胱出口梗阻疗效满意,是一种较为理想的手术方法。Objective To explore the treatment for bladder outlet obstruction（BOO） caused by benign prostatic hyperplasia （BPH） of relative small volume. Methods Retrospective study on 163 BPH patients was performed. All patients were randomly divided into two groups,58 cases treated with transurethral resection of prostate（TURP） and the other 105 cases treated with TURP plus transurethral incision of bladder neck（TUIBN ）. There were no statistically significant differences in age, course of disease prostate volume and resected prostute volume. The efficacy of TURP and TURP plus TUIBN was evaluated by means of IPSS and Q The follow-up period was from two to twelve months. Results Before operation, the mean score of IPSS was 24.9±4.2 and 25.8±4. 7,and the mean Qmax was （5.8±2. 9）ml/s and （6.1±3.4）ml/s for TURP group and TURP plus TUIBN respectively . There were no statistically significant difference in the mean score of IPSS and the mean Qmax before operation（P〉0.05）. After operation, the mean score of IPSS in TURP group was 13.5±3.4,and the mean Qmax was （9. 1±3. 1）ml/s,while the mean score of IPSS in TURP plus TUIBN group was 6. 1±3.2,and the mean Qmax was （19. 3±3. 2）ml/s. The mean score of IPSS and the mean Qmax in TURP plus TUIBN group were obviously different compared with those in TURP group（P〈0.01）. Conclusion The therapeutic effect of TURP plus TUIBN is satisfactory, which proves to be better for the management of patients with BOO caused by BPH of relative small volume.

关 键 词：前列腺增生 TURP TUIBN 

分 类 号：R697.3[医药卫生—泌尿科学]