前列腺增生经尿道电切术尿失禁的术中预防  

Transurethral prostate resection surgery in the prevention of urinary incontinence

作　　者：万旭辉[1] 赖建平[1] 陈善勤[1] 付光华[1] 李兴斌[1] 甘道举[1] 李健[1] 

机构地区：[1]宜宾市第一人民医院泌尿外科,四川宜宾644000

出　　处：《四川医学》2011年第11期1723-1725,共3页Sichuan Medical Journal

摘　　要：目的探讨前列腺增生症的经尿道前列腺电切术(TUR-P)致尿失禁的术中预防方法。方法分析我院1994年1月～2010年11月2100例前列腺增生症行TUR-P术后尿失禁的发生率。结果前列腺症状评分从术前(29.6±1.1)分降至术后3月的(5.2±1.2)分,最大尿流率从术前(6.2±1.4)ml/s增加至术后3个月的(17.1±4.6)ml/s,术后暂时性尿失禁5例,永久性尿失禁0例,尿失禁发生率为0.24%。结论 TUR-P术中正确辨认精阜标志,防止尿道外括约肌的损伤,正确电切处理精阜旁增生的腺体组织是防止术后尿失禁的关键。Objective To evaluate the transurethral resection of the prostate for the prevention of benign prostatic hyperplasia intraoperative urinary incontinence.Methods In our hospital from January 1994 to November 2010 2100 cases of benign prostatic hyperplasia TUR-P treatment,analysis of postoperative urinary incontinence rate.Results Prostate symptom score improved from（29.6±1.1） points down to（5.2±1.2）points after 3 months,maximum urinary flow rate increased from（6.2±1.4）ml/s preoperatively to（17.1±4.6）ml/s after 3 months.5 cases of postoperative temporary urinary incontinence occurred,no permanent urinary incontinence,urinary incontinence in 0.24%.Conclusion TUR-P intraoperative should be carefully identify signs verumontanum,prevent damage to the external urethral sphincter.It is a key way to prevent urinary incontinence that the adjacent verumontanum of proliferation of glandular tissue resection is correctly handled.

关 键 词：前列腺增生症 经尿道电切术 尿失禁 精阜 预防 

分 类 号：R699[医药卫生—泌尿科学]