经尿道治疗小体积前列腺增生所致膀胱出口梗阻的临床分析

Transurethral Management for Bladder Outlet Obstruction Caused by Benign Prostatic Hyperplasia of Small Volume

目的总结经尿道治疗小体积前列腺增生所致膀胱出口梗阻的临床经验。方法对41例小体积前列腺增生所致膀胱出口梗阻患者进行经尿道前列腺电切加膀胱颈切开术。结果最大尿流率(Qmax)从3.5～14ml/s,平均9.3ml/s上升至16.5～26ml/s,平均21ml/s;残余尿量(PVR)从55～230ml,平均105ml下降至10～45ml,平均15.5ml,所有患者术后病理诊断为良性前列腺增生,无排尿困难、尿失禁发生。结论经尿道前列腺电切加膀胱颈切开术是治疗小前列腺增生引起膀胱出口梗阻有效的方法。

Objective To sum up the clinical experience of transurethral management in treatment of bladder outlet obstruction（BOO） caused by benign prostatic hyperplasia（BPH） of small volume. Methods 41 cases of BOO caused by BPH of small volume were treated with transurethral resection of prostate（TURP） plus transurethral incision of bladder neck（TUIBN）. Results The mean Qmax increased from 9. 3ml/s（ranging from 3.5 to 14） to 21ml/s（ranging from 16.5 to 26）, The mean PVR decreased from 105ml（ranging from 55 to 230） to 15. 5ml（ranging from 10 to 45）, The postoperative pathology and no urinary incontinence were occurred. Conclusion TURP caused by BPH of small volume. of all patients was BPH, No voiding dysfunction plus TUIBN is an effective method to treat BOO caused by BPH of small volume.