良性前列腺增生及其伴发疾病的同期治疗（附205例报告）  

Simultaneous Treatment for Benign Prostate Hyperplasia and Its Concomitant Diseases

作　　者：方克伟[1] 李泽惠[1] 邱学德[1] 李志鹏[1] 李海丹[1] 万伟鸣[1] 袁顺辉[1] 何进[1] 曹贵华[1] 

机构地区：[1]昆明医学院第二附属医院肾外科,云南650101

出　　处：《国际泌尿系统杂志》2011年第6期726-729,共4页International Journal of Urology and Nephrology

摘　　要：目的探讨良性前列腺增生症（BPH）及其伴发疾病的同期手术治疗方法及疗效、安全性。方法对205例BPH合并膀胱结石、腹股沟疝、尿道狭窄或膀胱肿瘤的患者在行耻骨上经膀胱前列腺摘除术或经尿道前列腺等离子电切术时，同期行膀胱取石或碎石术、腹股沟疝无张力修补术、尿道内切开术、经尿道膀胱肿瘤电切术（TURBt）。随访期间回顾性分析上述患者的排尿情况、并发症、并发疾病的手术后情况。结果205例手术全部成功。所有患者住院期间无并发症，无死亡病例；随访3个月～91个月，随访期间所有患者排尿通畅。33例腹股沟疝和128例膀胱结石均无复发。16例尿道狭窄l例术中内切开失败，改为开放手术，4例术后需继续尿道扩张。28例膀胱肿瘤未见前列腺窝种植转移，7例非原位复发者再次行经尿道膀胱肿瘤电切术，术后未再复发。结论BPH合并膀胱结石、腹股沟疝、尿道狭窄、膀胱肿瘤可一期手术治疗，安全有效；有条件者，腔内手术町作为首选。Objectives To investigate the effectiveness and safety of the surgical treatment of benign prostate hyperplasia （BPH） and its concomitant diseases at the same time. Methods 205 cases with BPH and other diseases have been treated simultaneously, including suprapubic prostatectomy or transurethral resection of prostate （TURP）, inguinal herniorrhaphy, transurethral urethrotomy, transurethral resection of bladder tumor （TURBt） or vesical litholapaxy. During the follow - up, all the cases＂ micturition, complications, concurrent disease situation were analyzed retrospectively. Results The treatments were successful in all cases. None had complications and none was dead in hospitalization. During Ihe follow - up from 3 months to 91 months, all the patients are satisfactory in micturition. There was no recurrence in 33 eases of inguinal hernia and 128 cases of vesical calculi. Of the 16 cases of urethral stricture, one failed to transurethral urethrotomy for the obvious stricture and treated with open operation, the other 4 cases needed urethral dilatation after operation regularly. Seven of the 28 cases of bladder tumor underwent a second TURBt due to the recurring tumor which was far from prostatic urethra. No one was recurrent after the second operation. Conclusions BPH patients with inguinal hernia, urethral stricture, bladder tumor or vesical calculus can be treated simultaneously, which is safe and effective. Transurethral operation is the first ehoice for these patients if only the medical conditions is permitted.

关 键 词：前列腺增生 

分 类 号：R699[医药卫生—泌尿科学]