经尿道等离子电切治疗小体积前列腺增生合并膀胱颈梗阻83例临床分析

Transurethral resection of plasma treatment of small prostatic hyperplasia and bladder neck obstruction in 83 cases

目的：探讨经尿道等离子电切（TURIS）加膀胱颈环形纤维切开（TURIS＋tuibn）手术治疗小体积前列腺增生合并膀胱颈梗阻的临床效果。方法：回顾分析83例小体积前列腺增生合并膀胱颈梗阻行经尿道等离子电切手术治疗后的并发症和预后。结果：术中无电切综合征发生，随访9～18月，平均12个月后尿路刺激症状，尿失禁等临床表现均在3～6个月内逐渐消失：无1例出现膀耽颈挛缩，术后3例患者出现尿道狭窄，经扩尿道术或经尿道腔内切开术治愈。结论：该手术方法治疗小体积前列腺增生所致膀胱出口梗阻安全性好，疗效满意，并发症可治愈。

objective to study the Transurethral （TURIS） plus bladder neck ring fiber cut （TURIS＋tuibn） operation for small volume of benign prostatic hyperplasia with bladder neck obstruction. Methods a retrospective analysis of small volume 83 cases of benign prostatic hyperplasia with bladder neck obstruction passing through the urethra plasma treatment of complications and prognosis. Result no syndrome, follow-up of 9-18 months, an average of 12 months after the symptoms of urinary tract irritation, urinary incontinence and other clinical manifestations are in 3-6 months. Not a contracture of the bladder neck, 3 cases of postoperative patients urethral stricture of urethra enlargement, or Transurethral incision for the cure. Conclusion the surgical treatments for small volume of BPH induced bladder outlet obstruction security is good, satisfactory, complications can be cured. Is the treatment of small volume of benign prostatic hyperplasia-induced bladder outlet obstruction ideal treatment methods.