前列腺增生诊疗的研究进展  

Research progress in the diagnosis and treatment of benign prostatic hyperplasia

作　　者：董兴 陈继峰 DONG Xing;CHEN Ji-feng(Department of Urology,Dashiqiao Central Hospital,Liaoning Province,Dashiqiao115100,China)

机构地区：[1]辽宁省大石桥市中心医院泌尿外科,辽宁大石桥115100

出　　处：《中国当代医药》2021年第23期45-48,共4页China Modern Medicine

摘　　要：良性前列腺增生引起的排尿困难是常见泌尿外科疾病,雄激素和年龄是已知的主要致病因素,肥胖、高脂血症、糖尿病亦是密切相关。前列腺肿瘤的筛查方法是肛诊、总前列腺特异性抗原检测、超声检查。尿动力学检查有助于鉴别神经源性膀胱、膀胱过度活动症等。多数患者可以通过药物治疗改善症状,前列腺电切是标准治疗方法。严格的手术指征是确保手术疗效的前提,选择适当的手术方式可以增进疗效、改善术后并发症。本文就前列腺增生病因、诊断、筛查方法、药物疗效、手术指征、微创治疗及术后并发症等诊疗进展进行综述。Difficulty in urination caused by benign prostatic hyperplasia is a common urological disease.Androgens and age are the main known pathogenic factors.Obesity,hyperlipidemia,and diabetes are also closely related.The screening methods for prostate tumors are anal diagnosis,total prostate specific antigen test,and ultrasound.Urodynamic tests can help identify neurogenic bladder,overactive bladder,etc.Most patients can improve their symptoms with medications,and prostate resection is the standard treatment.Strict surgical indications are the prerequisite to ensure the curative effect of the operation.Appropriate surgical method can enhance the curative effect and improve postoperative complications.This article reviews the progress of diagnosis and treatment of prostate hyperplasia,such as etiology,diagnosis,screening methods,drug efficacy,surgical indications,minimally invasive treatment and postoperative complications.

关 键 词：良性前列腺增生 病因 诊断 肿瘤筛查 药物治疗 手术指征 前列腺电切术 前列腺段尿道悬吊术 

分 类 号：R697.3[医药卫生—泌尿科学]