膀胱颈口电切加松解术治疗难治性慢性骨盆疼痛综合征(附15例报告)  

The effectiveness of transurethral incision of versical neck and bladder neck lysis in the treatment of the refractory chronic prostatitis/chronic pelvic pain syndromes (Report 15 of cases)

作　　者：刘耀雷[1] 杨锦建[1] 贾占奎[1] 顾朝辉[1] 唐晓龙[1] 刘会锋[1] 

机构地区：[1]郑州大学附属第一医院泌尿外科,郑州450052

出　　处：《临床泌尿外科杂志》2012年第12期924-926,共3页Journal of Clinical Urology

基　　金：国家自然科学基金(编号81100464/HO424)

摘　　要：目的:探讨膀胱颈口电切加松解术治疗难治性慢性前列腺炎/慢性骨盆疼痛综合征(CP/CPPS,Ⅲ型前列腺炎)的疗效。方法:选择符合美国国立卫生研究院(NIH)诊断标准的Ⅲ型前列腺炎患者15例,均行经尿道膀胱颈口电切加松解术。以NIH-慢性前列腺炎症状指数(NIH-CPSI)、前列腺液内白细胞数及最大尿流率为疗效指标进行手术前后的比较。结果:15例患者中,7例显效,5例有效,3例无效。9例ⅢA型患者EPS中的白细胞计数由术前(30.6±10.3)个/HP减少至(10.2±5.7)个/HP。本组显效者占46.7%,有效者占33.3%,无效者占20%,总有效率为80%。结论:经尿道膀胱颈口电切加松解术是治疗难治性CP/CPPS(ⅢB型前列腺炎)的一种有效手段。Objective：To explore the effectiveness of transurethral incision of versical neck（TUIVN） and bladder neck lysis in the treatment of the refractory chronic prostatitis/chronic pelvic pain syndromes （CP/CPPS）. Method：We selected 15 patients which accorded with the demands of chronic prostatis type Ill of National Institute of Health（NIH）. All patients received the operation of TUIVN and bladder neck lysis. NIH-chronic prostatitis symptom index（NIH-CPSI）, counting leukocytes in expressed prostatic secretion（EPS） and maximum flow rate （MFR） were used as the standards of the effectiveness to compare between preoperation and postoperation. Result： The leukocytes counts before and after operation in 9 patients with CP/CPPS Type IlIA were （30. 6＋10. 3）/HP and （10.2＋5.7）/HP respectively. 7 patients in 15patients had marked effect （the scores for symptom decreased greater than or equal to 15）, 5 patients had effect （the scores for symptom decreased between 5 and 15） and 3 patients had no effect （the scores for symptom decreased less than 5）. The maximum flow rate increase to （15.5±4. 3）ml/s after surgery. Conclusion：Transurethral incision of versical neck and bladder neck lysis maybe an effective method to treat the refractory CP/CPPS.

关 键 词：慢性前列腺炎 慢性骨盆疼痛综合征 慢性前列腺炎 经尿道膀胱颈口电切加松解术 

分 类 号：R697[医药卫生—泌尿科学]