经尿道前列腺电切术后膀胱颈挛缩的腔内治疗

Transurethral endoscopic treatment for the bladder neck fibrotic contracture after transurethral resection of prostate

目的探讨腔内治疗经尿道前列腺电切术后膀胱颈挛缩的疗效。方法对经尿道前列腺电切术后膀胱颈挛缩患者42例,经尿道置入电切镜切除膀胱颈后唇瘢痕组织,再以针状电极行膀胱颈内切开术。结果42例患者术后症状改善,最大尿流率(17.1±4.3)ml/s和平均尿流率(7.5±1.6)ml/s均高于术前(P<0.05);平均随访18个月,除3例复发经再次手术治愈,其余均一次治愈。结论经尿道腔内治疗前列腺电切术后膀胱颈挛缩,是一种安全、疗效确切的微创手术方法。

Objective To explore the curative effect of transurethral endoscopic treatment for the bladder neck fibrotic contracture after transurethral resection of prostate. Methods All the 42 patients were treated with transurethral resection of bladder neck scar tissue accompaning with needle electrode incision. Results The symptoms of the patients were improved. The maximum urine flow rate was （17.1 ± 4.3）ml/s（ P 〈 0.05）,and the average urine flow rate was（7.5 ± 1.6）ml/s（ P 〈 0.05）.All patients were followed-up for a mean of 18 months. 39 cases were cured for the first time（93% ）excluding the recurrence of 3 cases who were cured after another operation. Conclusion Transurethral endoscopic treatment for the bladder neck fibrotic contracture after transurethral resection of prostate is a safe, highly effective, minimal invasion method.