文章摘要
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
  
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
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作者单位
张畅 屈平保△ 张 瑜 钟景琦 赵树田 赵 雪 奚雪滔 上海交通大学医学院附属同仁医院 泌尿外科 
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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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