摘要
目的：探讨BPH并发肾后性肾功能不全的处理方法和手术治疗的安全性及其术后效果。方法：对26例慢性肾功能不全的BPH患者，经留置尿管或耻骨上膀胱造瘘尿液引流，在肾功能改善后行经尿道前列腺电切或耻骨上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。15例行经尿道前列腺电切，9例行开放性前列腺摘除术，术中及术后顺利。术后随访1～2年，排尿通畅肾功能正常。结论：尿液引流为首选处理手段，肾功能恢复是手术的必要条件，经尿道前列腺电切更为合适。
Objective：To stydy the treatment of benign prostate hyperplasia（BPH）complicated with chronic renal failure. Methods：Totally 26 cases of BPH complicated with chronic renal failure were included in this study. All patiets received urinary diversion and renal function recovered before TURP or suprapubic prostatectomy. Re- suits：The operation courses were eventlessly. All patients have been followed up for 1 - 2 years and the results were satisfactory. Conclusions：Draining urine and improving patients＇s renal function are key to successful operation. TURP is better than prostatectomy.
出处
《临床泌尿外科杂志》
2007年第11期854-855,共2页
Journal of Clinical Urology
关键词
肾功能不全
前列腺增生
下尿路梗阻
Chronic renal failure Benign prostate hyperplasia Obstruction
