摘要
目的:提高小体积前列腺增生(SBPH)膀胱出口梗阻(BOO)的诊断和治疗水平。方法:对19例SBPH-BOO患者,采用开放手术切除增生的前列腺体,同时处理膀胱内病变,所有病例均经病理证实。术后随访1～2年,并对结果进行回顾性小结。结果:本组患者手术、恢复均顺利,出院时国际前列腺症状评分(IPSS)<7分,生活质量评分(QOL)<2分,最大尿流率(Qmax)>15ml/s,膀胱剩余尿量(RUV)<30ml,术后随访未发现严重并发症。结论:SBPH-BOO可通过IPSS、直肠指诊(DRE)、经直肠超声(TRUS)、RUV、血前列腺特异性抗原(PSA)及尿流动力学检查确定;提倡早期积极的手术治疗;
Objective To evaluate the approaches for diagnosis and treatment of bladder outlet obstruct (BOO)in the small volume prostatic hyperplasia(SBPH). Methods 19 patients with BOO of SBPH were performed by open surgical prostatectomy dealing with any intracystic lesions at the same time. All diagnosis were confirmed by pathological examination. After the operation,the patients are followed up 1～2 years. Retrospective analysis of all cases has been made. Results All patients were operated successfully and recovered smoothly. After discharging from the hospital,the average IPSS score is less than 7,the living quality score (QOL) is less than 2,the maximal uroflow rate (Qmax) is more than 15 ml/s,the residual urine (RUV) is less than 30 ml,all the patients have been followed up,no serious complications appear. Conclusion The diagnosis of the SBPH was established by IPSS、DRE、TRUS、RUV、serum PSA and urodynamics test;Early and active operation is highly recommended;Correct perioperative management is the key to prevent postoperative complications.
出处
《安徽卫生职业技术学院学报》
2004年第5期37-38,共2页
Journal of Anhui Health Vocational & Technical College
