非神经源性男性下尿路症状诊疗的“3B”思维  

The ＂3B＂ in the clinical management of non-neurogenic male lower urinary tract symptoms

作　　者：孙颖浩[1] 宋奇翔 

机构地区：[1]第二军医大学附属长海医院泌尿外科,上海200433

出　　处：《中华泌尿外科杂志》2017年第5期326-329,共4页Chinese Journal of Urology

摘　　要：下尿路症状（LUTS）是储尿期、排尿期与排尿末症状的集合体，它并非具有器官特异性。因此，目前对于非神经源性男性LUTS的诊疗越来越强调整体化和全局化的临床模式。在诊疗思路上，已由过去的以前列腺为核心逐渐转变为一种统观整个泌尿系统甚至全身多器官因素的综合模式；在治疗手段上，也已由过去的以手术为主转变为保守、药物与手术治疗相结合的个体化治疗体系。对此，我们通过文献检索并结合临床实际，首次提出了非神经源性男性LUTS诊疗的“3B”思维，即不仅聚焦于前列腺、不仅采取手术治疗和不仅考虑泌尿系统疾病。Lower urinary tract symptoms （LUTS）, consisting storage, voiding and postmictnrition symptoms, is a comprehensive definition involving multiple organs. There has been an increasing emphasis on the integrated management of non-neurogenic male lower urinary tract symptoms. Instead of focusing on the enlarged prostate, the current treatment has paid more attention on the entire urinary tract as well as multiple organ factors. Therefore, we provided a literature review and summarized the key points during the management of male LUTS as ＂3B＂, namely beyond prostate, beyond surgery and beyond urology.

关 键 词：下尿路症状 良性前列腺增生症 良性前列腺源性梗阻 慢性肾功能不全 储尿期症状 排尿期症状 

分 类 号：R691[医药卫生—泌尿科学]