前列腺增生术后膀胱颈瘢痕狭窄的发病机制及临床诊疗  

Pathogenesis and clinical diagnosis and treatment of bladder neck stenosis after operation of benign prostatic hyperplasia

作　　者：柳乐毅 朱俊超 李云龙(审校)[1] LIU Leyi;ZHU Junchao;LI Yunlong(Department of Urology,Kunshan Hospital Afiliated to Jiangsu University,Kunshan,Jiangsu,215300,China)

机构地区：[1]江苏大学附属昆山医院泌尿外科,江苏昆山215300

出　　处：《临床泌尿外科杂志》2020年第10期838-841,845,共5页Journal of Clinical Urology

摘　　要：膀胱颈瘢痕狭窄(bladder neck stenosis,BNS)是前列腺增生术后的远期并发症之一,其临床表现为前列腺增生术后尿线变细、排尿困难、夜尿多以及排尿中断等症状,膀胱镜检查可观察到瘢痕狭窄的膀胱颈。对于BNS的发病因素目前尚不完全明确,炎症及纤维化可能是导致其发生的主要原因。BNS的治疗目前主要依靠腔内手术治疗,机器人辅助下的重建手术可能是未来难治性BNS治疗的发展方向。本文将从BNS的发病危险因素及治疗的相关进展这两方面展开综述,为临床工作提供帮助。Bladder neck stenosis(BNS)is one of long-term complications after prostatic hyperplasia surgery.Its clinical manifestations include weak steam of urine,dysuria,nocturnal urination,interruption of urination and so on,and BNS can be observed through cystoscopy.The pathogenic factors of BNS are not yet entirely clear,but inflammation and fibrosis may be the main causes.The current treatment for BNS mainly depends on endourethral surgery,and robot-assisted reconstructive surgery may be the future trend in the therapy of difficult-to-treat BNS.This article reviews the pathogenetic risk factors and the research advances of BNS so as to direct clinical work.

关 键 词：膀胱颈瘢痕狭窄 膀胱颈挛缩 前列腺增生术后并发症 膀胱颈 

分 类 号：R697[医药卫生—泌尿科学]