摘要
目的比较经尿道前列腺汽化电切术(TUVP)和TUVP+膀胱颈内切开术(TCBNI)治疗小体积前列腺增生的疗效和术后膀胱颈挛缩的发生率。方法小体积前列腺增生患者51例,均行经直肠前列腺彩超以及尿流动力学检查明确诊断,19例采用TUVP治疗,32例采用TUVP+TCBNI治疗,比较两组之间术前术后的Qmax以及膀胱颈挛缩的发生率和预后。结果两组之间术后尿流率均较前有改善,TUVP+TCBNI组优于TUVP组(P<0.05),TUVP组术后发生膀胱颈挛缩6例,尿道扩张改善3例,3例再次手术治疗,TUVP+TCBNI组术后发生膀胱颈挛缩2例,均行尿道扩张后好转。结论对于小体积前列腺增生,TUVP以及TUVP+TCBNI均能改善排尿梗阻症状,但是TUVP+TCBNI组优于TUVP组,且能更有效防止并减轻术后膀胱颈挛缩的发生以及严重程度,应作为治疗小体积前列腺增生的首选术式。
Objective To compare the efficacy and rate of contracture of the bladder neck between transurethral vaporized and resection of the prostate （TUVP） and TUVP combined bladder neck incision, Methods The data of 51 case with small-size BPH were reviwed and analysized. Of the total number 19 underwent TUVP, the other underwent TUVP combined bladder neck incision. The curative effect of two surgical methods was evaluated by maximum flow rate（Qmax） and the rate of contracture of the bladder neck. Result Two methods also improve the micturition, significant different （P〈0.05）was founded in Qmax. In TUVP group, 6 cases were complicated with contracture of the bladder neck, 3 cases were cured by transurethral expansion,others had to operate again. In TUVP combined bladder neck incision group, 2 cases were complicated with contracture of the bladder neck, both were cured by transurethral expansion.Conclusion TUVP combined bladder neck incision were proved to be the first option for the surgical treat-ment of small-size BPH.
出处
《中华腔镜泌尿外科杂志（电子版）》
2009年第6期34-36,共3页
Chinese Journal of Endourology(Electronic Edition)
关键词
小体积
前列腺增生
膀胱颈
汽化电切术
Small size
Benign prostatic hyperplasia
Bladder neck
TUVP
