前列腺切除术后膀胱颈挛缩诊疗进展  

Progress in diagnosis and treatment of post-prostatectomy bladder neck contracture

作　　者：施旭 魏武然[1] SHI Xu;WEI Wuran(Department of Urology,Institute of Urology,West China Hospital,Sichuan University,Chengdu,610041,China)

机构地区：[1]四川大学华西医院泌尿外科,四川大学华西医院泌尿外科研究所,成都610041

出　　处：《临床泌尿外科杂志》2024年第10期922-926,共5页Journal of Clinical Urology

基　　金：四川省科学技术厅区域创新合作项目(No:23QYCX0136)。

摘　　要：膀胱颈挛缩(bladder neck contracture,BNC)是一种病因不明的疾病,目前缺乏可靠的预测因素。BNC可继发于良性前列腺增生或前列腺癌术后,其发生率与患者自身情况、手术方式和手术技巧有关。创面修复是前列腺切除术后BNC发生的重要基础。BNC在大多数情况下可通过保守治疗或内镜手术治疗缓解。随着手术技巧和微创技术的精进,BNC发病率有下降趋势,但仍存在复发率高、治疗成功率低、经济负担重的重要问题。目前缺乏规范的前列腺切除术后BNC管理策略,应采取极具个体化的治疗方案。Bladder neck contracture (BNC) is a condition of unknown etiology and lacks reliable predictive factors. Post-prostatectomy BNC is most often secondary to surgeries of benign prostatic hyperplasia or prostate cancer and is associated with surgical access and surgical technique. Trauma repair is an important basis for the development of BNC. Post-prostatectomy BNC can be relieved by conservative treatment or endourologic treatment. Although the incidence of BNC has tended to decrease with the refinement of surgical and minimally invasive techniques, there are still the important problems of high recurrence rates, low treatment success, as well as high cost. There is a lack of standardized management strategies for post-prostatectomy BNC, so individualized treatment protocols should be adopted.

关 键 词：膀胱颈挛缩 前列腺增生 前列腺癌 危险因素 治疗 

分 类 号：R699.8[医药卫生—泌尿科学]