保留膀胱颈的经尿道前列腺铥激光剜切术治疗骨盆骨折尿道损伤重建手术后BPH的疗效  

Efficacy of Thulium laser enucleation-resection of prostate with bladder neck preservation for the treatment of BPH with a history of pelvic fracture urethral injury reconstruction

作　　者：黄建文[1] 曹乃龙 王营 张心如 宋鲁杰 傅强[1] Huang Jianwen;Cao Nailong;Wang Ying;Zhang Xinru;Song Lujie;Fu Qiang(Department of Urology,Medical School of Shanghai Jiaotong University Affiliated Sixth People's Hospital,Shanghai 200233,China)

机构地区：[1]上海交通大学医学院附属第六人民医院泌尿外科,上海200233

出　　处：《中华泌尿外科杂志》2024年第5期391-392,共2页Chinese Journal of Urology

基　　金：徐汇区重要疾病联合攻关项目(XHLHGG202109)。

摘　　要：骨盆骨折尿道损伤(PFUI)可能会导致尿道外括约肌损伤,传统的经尿道前列腺切除术可能会增加既往有PFUI重建手术史的良性前列腺增生(BPH)患者术后出现永久性尿失禁的风险。本研究采用保留膀胱颈的经尿道前列腺铥激光刻剜切术(ThuLERP)治疗4例既往有PFUI重建手术史的BPH患者。所有患者手术顺利,术后3个月均排尿通畅,均未发生永久性尿失禁。保留膀胱颈的ThuLERP治疗既往有PFUI重建手术史的BPH安全、有效,且能避免永久性尿失禁的发生。Pelvic fracture urethral injury(PFUI)may result in loss of external urethral sphincter function,and traditional transurethral resection of the prostate may increase risk of permanent urinary incontinence after surgery in patients with benign prostatic hyperplasia(BPH)with a history of PFUI reconstruction.In the study,hulium laser enucleation-resection of prostate(ThuLERP)with bladder neck preservation was used to treat 4 patients with BPH with a history of PFUI reconstruction.All operations were conducted smoothly,and all patients had unobstructed voiding and no permanent urinary incontinence at 3 months after surgery.ThuLERP with bladder neck preservation was safe and effective treatment of BPH with a history of PFUI reconstruction,and avoided the risk of permanent urinary incontinence.

关 键 词：膀胱颈 激光剜切术 骨盆骨折尿道损伤 尿道重建 良性前列腺增生 

分 类 号：R699.8[医药卫生—泌尿科学]