前列腺增生伴膀胱颈纤维化的诊治分析  

Diagnosis and treatment of bladder outlet obstruction caused by benign prostatic hyperplasia accompanied with bladder neck fibrosis

作　　者：沈建国[1] 李家栋[1] 

机构地区：[1]上海交通大学附属第六人民医院分院奉贤区中心医院泌尿外科,上海201400

出　　处：《同济大学学报（医学版）》2008年第6期114-116,共3页Journal of Tongji University(Medical Science)

摘　　要：目的探讨前列腺增生伴膀胱颈纤维化所致膀胱颈梗阻的诊断和治疗方法。方法自1999年6月—2006年12月,经尿道治疗前列腺增生伴膀胱颈纤维化患者28例,其中5例行单纯经尿道前列腺切除术(transurethral resection of prostate,TURP),23例行TURP加膀胱颈内切开术(transurethral incision of bladder neck, TUIBN),比较手术前后IPSS评分及最大尿流率(Qmax)并行统计学分析。结果术前IPSS评分(24.7±4.8), Qmax(8.2±3.4)ml/s。术后IPSS评分(6.2±2.5),Qmax(20.5±3.8)ml/s。IPSS评分和Qmax手术前后变化差异均有显著性(P<0.05)。结论经尿道切除增生前列腺的同时行膀胱颈环状纤维切开术是治疗前列腺增生伴膀胱颈纤维化引起膀胱颈出口梗阻较为理想的方法。Objective To study the diagnosis and treatment of bladder outlet obstruction causing by benign prostatic hyperplasia accompanied with bladder neck fibrosis. Methods From December 1999 to January 2006, 28 patients of benign prostatic hyperplasia accompanied with bladder neck fibrosis were treated transurethrally, in which 5 cases were treated by transurethral resection of prostate （TURP） and the other 23 cases were treated with TURP plus trnasurethral incision of bladder neck （TUIBN）. The efficacy of TURP and TURP plus TUIBN were evaluated by means of intemational prostate symptom score （IPSS） and Qmax. Results The mean score of IPSS of the patients decreased from （24.8 ± 4.5 ） to （6.2±2.5 ） before and after treatment, and the mean Qmax increased from （8.2 ±3.4） ml/s to （20.5 ± 3.8 ） ml/s before and after operative. Conelusion Transurethral resection of prostate hyperplasia at the same time making ring fiber bladder neck incision is an ideal technique for the treatment of benign prostatic hyperplasia accompanied with bladder neck fibrosis.

关 键 词：前列腺增生 膀胱颈梗阻 经尿道前列腺电切术 经尿道膀胱颈切开术 

分 类 号：R697.32[医药卫生—泌尿科学]