经尿道膀胱颈电切术治疗慢性前列腺炎并发膀胱颈梗阻疗效观察  

Transurethral resection for the treatmcnt of bladder neck obstruction due to chronic prostatitis

作　　者：高新[1] 邱剑光[1] 陆敏华[1] 

机构地区：[1]中山医科大学附属第三医院泌尿外科,广州510630

出　　处：《临床泌尿外科杂志》1999年第10期424-425,共2页Journal of Clinical Urology

摘　　要：目的 :探讨经尿道膀胱颈电切术治疗慢性前列腺炎并发膀胱颈梗阻的治疗效果。方法 :采用经尿道膀胱颈电切术治疗慢性前列腺炎并发膀胱颈梗阻 11例。 11例慢性前列腺炎病史平均1.67± 0 .34年 ,尿流动力学检查最大尿流率为 11.2 0± 1.33ml/ s,膀胱镜检查见膀胱颈后唇抬高。结果 :术后 1个月复查 ,最大尿流率上升至 19.30± 0 .61ml/ s,前列腺按摩液和精液常规检查未见异常。结论 :对膀胱颈梗阻的男性青壮年患者 ,经药物治疗无效后可慎重选用经尿道膀胱颈电切术来解除膀胱颈梗阻。Purpose:To evaluate the curative effects of transurethral resection for the treatment of bladder outlet obstruction due to the chronic prostatitis.Methods:The endoscopic treatment data relevant to the bladder outlet obstruction due to chronic prostatitis was reported. The history of those who had the chronic prostatitis averaged 1.67±0.34 years. The urodynamics investigation showed that bladder outlet obstruction was present with maximal flow rate 11.20 ± 1.33 ml/s. The cystoscopic examination showed the posterior bladder neck was elevated.Results:One month follow up demonstrated that the maximal flow rate rose up to 19.30 ± 0.61 ml/s,EPS and semen analysis were normal.Conclusions:The transurethral bladder neck resection is available to treat bladder outlet obstruction due to the chronic prostatitis when the drug therapy was not effective.

关 键 词：前列腺炎 膀胱颈梗阻 经尿道 膀胱颈电切术 

分 类 号：R694.205[医药卫生—泌尿科学] R697.320.6[医药卫生—外科学]