| 张畅 屈平保△ 张 瑜 钟景琦 赵树田 赵 雪 奚雪滔.TURP 联合经尿道膀胱颈切开术治疗小体积前列腺增生所致膀胱出口梗
阻的疗效分析[J].,2015,15(7):1256-1258 |
| TURP 联合经尿道膀胱颈切开术治疗小体积前列腺增生所致膀胱出口梗
阻的疗效分析 |
| Clinical Effect of TURP Combined with TUIBN for Bladder OutletObstruction Caused by Small-size Benign Prostatic Hyperplasia |
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| DOI： |
| 中文关键词: 前列 腺增生 经尿道前列 腺电切术 经尿道膀胱颈切开术 膀胱颈挛缩 |
| 英文关键词: Benign prostatic hyperplasia TURP TUIBN Bladder neck contracture |
| 基金项目: |
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| 中文摘要: |
| 目的： 探讨经尿道前列 腺电切术（ TURP）联合经尿道膀胱颈切开术（ TUIBN）治疗小体积前列 腺增生（ BPH）所致膀胱出 口梗
阻的疗效。 方法： 选择 2009 年 1 月 ~2013 年 12 月 我院收治的小体积 BPH 患者，其中单纯经尿道前列 腺电切术（ TURP 组）48 例，
经尿道前列 腺电切术联合经尿道膀胱颈切开术（ TURP+ TUIBN 组）48 例。 比较两组的术前、术后国 际前列 腺症状评分（ IPSS）、残
余尿量（ PVR）、最大尿流率（ Qmax）等， 以及术后并发症的 发生情况。 结果： TURP+TUIBN 组术中 出 血量较 TURP 组明显增多
（ P<0.05）， 两组手术时间 、 组织 切除质量比较， 差异均 无统计学 意义（ P>0.05）； 与 TURP 组比较， TURP+ TUIBN 组术后 6 个月
IPSS 评分、 PVR 明显下降， Qmax、膀胱压力 明 显上升（ P<0.05）； TURP+TUIBN 组并发症发生率为 4.2%，显著低于 TURP 组 16.7%
（ P<0.05）。 结论： TURP+TUIBN 治疗小体积前 BPH 所致膀胱出口 梗阻，可彻底切除增生腺体，消除小体积 BPH 的各种梗阻因 素，
减少术后膀胱颈挛缩的发生。 |
| 英文摘要: |
| Objective:To explore the effect of transurethral resection of prostate (TURP) combined with transurethral incision of
the bladder neck (TUIBN) for bladder outlet obstruction caused by small-size benign prostatic hyperplasia (BPH).Methods:98 patients
with small-size BPH who received treatment in our hospital from January 2009 to December 2013 were included. All the cases were
treated by TURP+ TUIBN and TURP, respectively. The international prostate symptom score(IPSS), maximum urinary flow rate (Qmax)
and postvoid residual urine volume(PVR), bladder neck contracture were compared between the two groups.Results:The blood loss during operation were significantly lower in TURP group than that in TURP+ TUIBN group (P<0.05), while there were no significant difference on operation time andprostatic tissues resected (P>0.05). Compared wih TURP group, the IPSS score, PVR reduced, Qmax, and
bladder pressure increased in TURP+ TUIBN group (P<0.05). The incidence of complications in TURP+ TUIBN group (4.2%) was significantly lower than that in TURP group (16.7%) (P<0.05).Conclusion:TURP combined with TUIBN for bladder outlet obstruction
caused by small-size BPH, can remove completely hyperplasia gland, eliminate all the obstruction factors of BPH, and reduce the occurrence of postoperative bladder neck contracture. |
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