前列腺增生并肾后性肾功能不全的治疗方法  

Treatment of prostatic hyperplasia with chronic renal insufficiency

作　　者：王锋[1] 

机构地区：[1]隆昌县人民医院泌尿外科,四川内江642150

出　　处：《四川生理科学杂志》2012年第1期18-19,共2页Sichuan Journal of Physiological Sciences

摘　　要：目的:探讨前列腺增生并肾后性肾功能损害的处理方法及手术时机及其术后效果。方法:对30例前列腺增生并肾后性肾功能损害的患者,经留置尿管或耻骨上膀胱穿刺造瘘尿液引流,在肾功能恢复和尿动力检查膀胱逼尿肌功能恢复的前提下行经尿道前列腺电切。结果:经持续尿液引流后肾功均有明显改善,其中22例于1周后成功行前列腺电切,8例行膀胱造瘘后1～2月行前列腺电切术,手术中及术后顺利,均无严重并发症,术后顺访1～2年,排尿通畅满意,肾功能正常。结论:尿液引流是首要处理方法,肾功能恢复及膀胱逼尿肌功能恢复是手术的前提,经尿道前列腺电切是手术的主要方法。Objective： To investigate the therapy methods, time and effects of operation on prostatic hyperplasia with chronic renal insufficiency. Methods： 30 cases with prostatic hyperplasia with chronic renal insufficiency were treated with indwelling catheter or suprapubic cystostomy. All patients received urinary diversion and renal function recovered before transurethral resection of prostate （TURP） surgery. Results： After continuous urinary drainage, renal function significantly improved. 22 cases had undergone prostate electrocision through urethra 1 week later, 8 patients had undergone prostate electrocision through urethra with 1-2 months after suprapubic cystostomy. All patients have been followed up for 1-2 years and the results were satisfactory. Conclusion： The urinary drainage is the primary treatment method. Recovery of renal function and bladder detrusor function recovery are prerequisites for surgery. The TURP surgery is the main treating method.

关 键 词：前列腺增生 肾功能不全 下尿路梗阻 

分 类 号：R699[医药卫生—泌尿科学]