前列腺尖部推切法对经尿道前列腺切除术后尿失禁的预防作用  

Push and Cut of the Apex of Prostate for the Prevention of Incontinence after Transurethral Resection of Prostate

作　　者：文永安 齐光华 陈世柱 刘磊 王鹏 

机构地区：[1]西藏民族学院附属医院泌尿外科,陕西咸阳712000

出　　处：《泌尿外科杂志（电子版）》2015年第3期27-29,共3页Journal of Urology for Clinicians(Electronic Version)

基　　金：西藏自治区科技厅自然基金资助课题资助;No.2015ZR-13-22

摘　　要：目的总结探讨前列腺尖部推切法对经尿道前列腺切除术后尿失禁预防作用。方法回顾性总结本院2012年至2015年2月收治的82例前列腺增生症患者的临床资料及经尿道前列腺切除术(经前列腺尖部推切法)术后尿失禁的发生率(3个月~3年)随访结果。结果前列腺症状评估从术前(24.8±3.5)分降至(6.8±2.6)分。最大尿流率从术前(8.6±1.3)ml/s增加至术后(15.6±3.5)ml/s,术后暂时性尿失禁0例,永久性尿失禁0例,尿失禁发生率为0%。结论 TURP术中正确辨认精阜标志,防止尿道外括约肌损伤,正确处理精阜旁增生腺体组织是防止术后尿失禁的关键,而前列腺尖部推切法有效保护尿道外括约肌勿损伤,防止了因尿道外括约肌损伤发生的尿失禁。此方法值得在临床上大力推广使用。Objective To explore the prevention effect of push and cut of the apex of prostate on inconti-nence after TURP. Methods We retrospectively analyzed the clinical data of 82 patients with BPH treated with TURP (push and cut of the apex of prostate)between 2012 and February 2015 in our department. We followed-up for 3 months to 3 years,and analyzed the incidence rate of incontinence after TURP. Results IPSS de-creased from (24 . 8 ± 3 . 5 )down to (6 . 8 ± 2 . 6 ),while Qmax increased from (8 . 7 ± 1 . 3 )up to (15 . 6 ± 3 . 5). There was no patient with temporary or permanent incontinence. Conclusions Push and cut of the apex of prostate could effectively protect external urethral sphincter,and prevent postoperative invontinence because of the damage of external urethral sphincter. This method is worth popularizing in clinical use.

关 键 词：良性前列腺增生 经尿道前列腺切除术 尿失禁 

分 类 号：R699.8[医药卫生—泌尿科学]