前列腺增生手术要关注膀胱功能评估  

Evaluating bladder function is important in prostatic hyperplasia surgery

作　　者：许克新[1] 柯涵炜 XU Kexin;KE Hanwei(Department of Urology,Peking University People s Hospital,Beijing 100044,China)

机构地区：[1]北京大学人民医院泌尿外科,北京100044

出　　处：《现代泌尿外科杂志》2023年第3期183-185,200,共4页Journal of Modern Urology

摘　　要：良性前列腺增生(BPH)会导致良性前列腺梗阻(BPO),继而影响膀胱功能。基于793例BPO患者的尿动力学检查结果,将BPO患者的膀胱功能分为3个阶段、6种类型。其中逼尿肌过度活动伴收缩力受损(DHIC)是膀胱功能由代偿向失代偿的过渡期。不同指南针对BPO的手术建议未考虑患者的膀胱功能,本文强调BPH的手术治疗需要考虑患者的膀胱功能状态,进而选择有针对性的个体化手术方式。Benign prostatic hyperplasia(BPH)may lead to benign prostatic obstruction(BPO),which may result in bladder dysfunction.Based on the urodynamic analysis of bladder function of 793 BPO patients,bladder function could be classified into 3 stages and 6 types.Detrusor overactivity with impaired contractility(DHIC)is the transitional period of bladder function from compensation to decompensation.The indications of surgical therapy of bladder outlet obstruction(BOO)in different guidelines do not consider the bladder function.This paper emphasizes the importance of bladder function in the surgical choices for BOO,in order to select targeted and individualized surgical methods,and discusses the choice of surgical treatment for BPO from the perspective of bladder function.

关 键 词：前列腺增生 膀胱功能 良性前列腺梗阻 膀胱出口梗阻 手术方式选择 

分 类 号：R697.32[医药卫生—泌尿科学]