尿液引流联合手术治疗良性前列腺增生合并肾后性肾功能不全效果观察  

The Effects Observed of Urine Drainage and Surgical Treatment of Benign Prostatic Hyperplasia and Renal Dysfunction after Renal

作　　者：利宏泰 张东文 王磊 

机构地区：[1]蕉岭县人民医院外一科,广东梅州514100

出　　处：《中国医药指南》2011年第30期222-223,共2页Guide of China Medicine

摘　　要：目的探讨尿液引流联合手术治疗良性前列腺增生合并肾后性肾功能不全效果观察。方法选取2006年1月至2011年1月我院收治的良性前列腺增生合并肾后性肾功能不全患者共50例,首先均进行尿液引流,有41例留置尿管,9例因插尿管失败而进行膀胱穿刺造瘘,然后择期进行手术治疗。结果治疗前后患者的血尿素氮、肌酐比较差异均具有统计学意义(P<0.05),说明治疗后患者肾功能恢复正常或接近正常;21例患者进行经尿道前列腺电切术,20例进行耻骨上经膀胱前列腺切除术,另外9例进行尿液引流120d后,行永久膀胱造瘘术。留置尿管41例患者术后经随访6～12个月,治疗前后IPSS评分、残余尿量比较,差异均具有统计学意义(P<0.05)。结论通过尿液引流改善肾功能,且积极治疗其他慢性疾患,大部分患者可进行手术切除前列腺,术后可获得较佳的疗效,且生活质量显著提高。Objective To learn the effect of urinary diversion and surgical therapy on benign prostatic hyperplasia with post acute renal insufficiency. Methods There are 50 patients of benign prostatic hyperplasia with post acute renal insufficiency in our hospital from Jan 2006 to Jan 2011.They all first accept urinary diversion, including 41 cases of indwell ureter and 9 cases of bladder nephrostomy. Then select a good time to accept surgical therapy. Results The diverse of Blood urea nitrogen and creatinine of patients before and after therapy has significance（P0.05）. Patients can recover or be close to recover renal function. There are 21 cases of TURP, 20 cases of suprapubic transvesical prostatectomy and 9 cases of permanent bladder nephrostomy 120 days after urinary diversion.The diverse of IPSS score and residual urine volume of 41 cases of indwell cathetero has significance（P0.05）. Conclusion Urinary diversion can improve renal function, and treat other chronic disease. Most patients can accept surgical therapy, which has better effect after therapy and obviously increase quality of patients-lives.

关 键 词：尿液引流 手术治疗 良性前列腺增生 肾后性肾功能不全 

分 类 号：R697.3[医药卫生—泌尿科学]