前列腺增生症合并慢性肾功能不全手术治疗体会

Treatment of benign prostate hyperplasia with chronic renal failur by opration

目的：探讨前列腺增生症合并肾后性肾功能不全手术治疗的安全性及临床疗效。方法：43例合并慢性肾功能不全的前列腺增生症患者，通过留置尿管或耻骨上膀胱造瘘尿液引流，在肾功能改善后行耻骨后经膀胱前列腺摘除术。结果：本组持续尿液引流后，肾功能均有显著的恢复。43例行开放性前列腺摘除术，顺利完成手术，康复顺利。术后随访6～24个月，残余尿0～30mL；血Cr 38例在正常范围，5例在250-450μmol／L。结论：尿液引流为手术创造条件，术前尽可能纠正肾功能不全、改善机体状况是手术成功的关键。行前列腺摘除术可有效改善临床症状及肾功能。

Objective：To evaluate the safety and therapeutic effects of surgery treatment of the patients with benign prostate hyperplasia（BPH）complicated with chronic renal failure. Methods ：The patients（43 cases）of BPH complicated with chronic renal failure were performed by suprapubic prostatectomy after urinary diversion. Results：Renal function of all patients have significant improvement after urinary diversion. The operations courses steady. All patients have been followed up for 6 - 24 months and the result is satisfactory. Conclusion：Urinary diversion creates chance for surgery treatment. It is key to operate successfully that improving patients＇s renal function and general statues actively before surgery treatment, Clinical symptoms and renal of all patients have significant improvement after prostatectomy.