经尿道膀胱颈电切术治疗中青年男性膀胱颈梗阻的疗效分析(附16例报告)  

Curative effect analysis of treating bladder neck obstruction in young and middle-aged men with transurethral resection of the bladder neck(Report of 16 cases)

作　　者：朱旋[1] 高文喜[1] 张忠民[1] 胡少伟[1] 曾令启[1] 周洁[1] 郭凡[1] 江伟[1] 

机构地区：[1]湖北省中医院泌尿外科,武汉430061

出　　处：《临床泌尿外科杂志》2015年第9期831-833,共3页Journal of Clinical Urology

摘　　要：目的:探讨经尿道膀胱颈电切术治疗中青年男性膀胱颈梗阻患者的临床效果。方法:采用经尿道膀胱颈电切术治疗中青年男性膀胱颈梗阻患者16例。所有患者均曾口服α受体阻滞剂坦索罗辛治疗6个月,7例患者曾行多次尿道扩张治疗。结果:16例手术患者手术前后慢性前列腺炎症状评分(CPSI)分别为(26.7±7.6)分和(7.5±4.6)分(t=6.86,P<0.001),最大尿流率(MRF)分别为(7.9±5.2)ml/s和(20.1±5.3)ml/s(t=7.25,P<0.001),剩余尿(RUV)分别为(58.2±26.6)ml和(21.6±16.9)ml(t=7.14,P<0.001)。1例术后有逆行射精。结论:对于有膀胱颈梗阻的患者,明确诊断后若药物治疗或尿道扩张无效,可采取经尿道膀胱颈电切术,手术治疗效果好。但手术与否必须权衡患者对生育能力的要求。Objective：To explore the curative effect of treating bladder neck obstruction in young and middle- aged men with transurethral resection of the bladder neck. Method： Bladder neck obstruction was diagnosed in 16 young and middle-aged men at our institution. All patients had accepted the medication of tamsulosin for six months. Seven of them experienced several urethral dilatation. Result： Mean Chronic Prostatitis Symptom Index （CPSI） decreased from （26.7±7.6） to （7.5±4.6） after the operation （t=6.86, P〈0. 001）, and mean residual urine volume （RUV） decreased from （58.2±26.6） ml to （21.6±16.9） ml （t=7.14, P〈0. 001）. An increase in mean maximum flow rate （MFR） from （7.9±5.2） ml/s to （20.1±5.3） ml/s was found after the operation （t= 7.25, P〈0. 001）. Only one patient suffered from retrograde ejaculation after operation. Conclusion： For patients with bladder neck obstruction, transurethral resection of the bladder neck is a good selection if drug therapy or u- rethral dilatation has no effect. However, the choice of surgery depends on the patients＇ demand for fertility.

关 键 词：膀胱颈梗阻 经尿道膀胱颈电切术 中青年男性 

分 类 号：R694.2[医药卫生—泌尿科学]