摘要
目的探讨纤维增生型前列腺增生症 (BPH)及其并发疾病的诊断和开放手术的处理原则 ,以提高诊治水平。方法从317份开放手术治疗BPH的病例中筛选出纤维增生型BPH50例 ,并进行了信访。结果这一类型BPH发病年龄偏低 ,平均62.7岁 ,常伴有膀胱颈部病变 ,其中膀胱颈挛缩27例 (54% ) ,膀胱颈后唇抬高16例 (32% ) ,输尿管脊肥厚2例(4 % ) ,以及膀胱功能障碍 ,外理不当易产生尿道狭窄和膀胱颈瘢痕挛缩。结论本组占同期BPH开放手术的15.8%并非少见 ,这一类型的膀胱出口梗阻 (BOO) ,因纤维增生型BPH常伴有膀胱颈挛缩 ,后唇抬高等病变 ,易于误诊或漏诊 ,术前诊断、术中处理均较困难 ,并对诊断与开放手术等问题进行了讨论。
Objective To explore the therapeutic principles in the treatment of the fibrous hypertrophic hyperplasia of prostate . Methods 50 cases with fibrous hypertrophic hyperplasia of prostate were selected from 317 operated prostate hyperplasia cases and follow-up studies were carried out. Results The average age of the cases was 62.7 and the cases were often complicated with vesical neck diseases such as vesical neck contracture (27 cases, 54%), raised posterior lip of the vesical neck (16 cases,32%),ureteric ridge thickening (2 cases, 2%) and disturbance of the vesical functions. Improper management could lead to the uretic stenosis and scar contracture. Conclusion Fibrous hypertrophic hyperplasia of prostate represented 15.8% in the present study and misdiagnosis was likely to occur owing to the vesical neck contracture and raised posterior lip of the vesical neck. Attention should be paid to the preoperative dianosis and perioperative managemant.
出处
《浙江临床医学》
2000年第9期592-594,共3页
Zhejiang Clinical Medical Journal
关键词
前列腺增生症
纤维化
膀胱颈挛缩
Hyperplasia of prostate
Fibrosis
Vesical neck contracture
