新术式治疗前列腺增生术后膀胱颈挛缩防治的研究进展  

Research progress in prevention and treatment of bladder neck contracture after benign prostatic hyperplasia surgery with new surgical methods

作　　者：杨朴深 王浩 谢大炜 王思琦 何威峰 卫宜锐 王建文[1] YANG Pushen;WANG Hao;XIE Dawei;WANG Siqi;HE Weifeng;WEI Yirui;WANG Jianwen(Department of Urology,Beijing Chaoyang Hospital,Capital Medical University,Beijing100020,China)

机构地区：[1]首都医科大学附属北京朝阳医院泌尿外科,北京100020

出　　处：《中国医药导报》2024年第10期199-200,F0003,共3页China Medical Herald

基　　金：首都卫生发展科研专项项目(首发2020-2-2033)。

摘　　要：膀胱颈挛缩(BNC)为前列腺增生术后远期并发症之一,主要症状为排尿困难等,可能由炎症因子刺激及微血管病变等原因所致。BNC可通过术前治疗前列腺炎症及改善微循环,术中行预防性膀胱颈切开及调整器械用法,术后治疗尿路感染及监测瘢痕形成指标进行预防。BNC的手术方式一般为经尿道膀胱颈手术,难治性BNC可采用膀胱颈成形术。本文将从新术式治疗前列腺增生术后BNC的发生机制、预防手段及治疗方式展开综述,以帮助临床工作的开展。Bladder neck contracture(BNC)is one of the long-term complications after benign prostatic hyperplasia surgery,it’s main symptom is dysuria,which may be caused by the stimulation of inflammatory factor or microvascular lesions.BNC can be prevented by the treatment of prostatitis and improvement of microcirculation preoperatively,prophylactic bladder neck incision,adjustment of instrument usage intraoperatively,and the treatment of urinary tract infection,monitoring of scar formation indicators postoperatively.The surgical method for BNC is generally transurethral bladder neck surgery,and for refractory BNC,bladder neck reconstruction can be used.This article will review the mechanisms,preventive methods,and treatments of postoperative BNC in the treatment of benign prostate hyperplasia using new surgical methods,in order to assist in clinical work.

关 键 词：良性前列腺增生 膀胱颈挛缩 并发症 激光 

分 类 号：R699.8[医药卫生—泌尿科学]