前列腺增生症合并慢性前列腺炎的手术治疗

The surgical treatment for benign prostatic hyperplasia accompanied by prostatitis

目的 探讨前列腺增生症（BPH）合并慢性前列腺炎（CP）治疗方法和疗效。方法 45例前列腺增生症合并慢性前列腺炎患者，年龄58—76岁，前列腺重量为24—72．4g，采用开放手术治疗20例，前列腺汽化电切（TURP）治疗25例，20例患者术前口服抗生素1～2周，31例术前口服选择性α1受体阻滞剂治疗。结果 所有患者均一次手术成功，术后均排尿通畅，15例患者出现膀胱痉挛，无严重并发症发生。结论 对于前列腺增生症合并慢性前列腺炎患者，术前口服抗生素和选择性α1受体阻滞剂，术中行前列腺汽化电切，术后以胆碱能受体阻滞剂预防膀胱痉挛，安全、有效。

Objective To evaluate the treatment method and clinical effect of benign prostatic hyperplasia （BPH） accompanied by prostatitis. Methods The total number of patients was 45. The range of patients＇ age was 58 to 76 years and the range of the prostate weight was 24 to 72.4 grams. 20 cases were treated by open prostateetomy,25 cases were treated by transurethral resection of prostate（TURP）. 20 cases received oral antibacterial,31 cases received oral selective α1-receptor blocker before operation. Results All patients were operated successively. Bladder spasm occurred in 15 cases. No severe complications occurred. Conclusion It＇ s safe and effective to take oral antibacterial and selective α1-receptor blocker before operation, take TURP during the operation, and take oral cholinergic receptor blocker postoperatively for the BPH patients with prostatitis.