摘要
报告小体积前列腺增生所致膀胱颈部梗阻病人１８例，经尿道前列腺电切术后症状消失或明显改善，术前确诊仅５例，另１３例术后经病检确诊。强调了尿动力学、排尿期膀胱尿道造影和尿道膀胱镜检在诊断本病中的重要作用，提出了诊断本病的要点：（１）４０岁以上男性，有持续的下尿路梗阻症状，临床检查前列腺增大不明显；（２）尿动力学和排尿期膀胱尿道造影梗阻位于膀胱颈部；（３）前列腺切除或膀胱颈内切开术后症状消失或明显改善；（４）病检证实有前列腺增生。
18 patients with bladder neck obstruction caused by a smallsize benign hyperplastic prostate were presented. Transurethral prostatectomy was carried out in all yielding excellent result. Only 5 were diagnosed preoperatively as smallsize benign hyperplastic prostate and the other 13 were diagnosed postoperatively on pathological study. The role of urodynamics, cystourethrography and endoscopy were discussed and creteria for such a diagnosis were proposed(1)male patient over 40 with persistent symptoms of lower urinary tract obstruction with no clinical evidence of an enlarged prostate;(2)urodynamic and cystourethrographic studies revealed that the obstruction was at the bladder neck;(3)the obstruction symptoms vanished or remarkably improved on prostatectomy or endoscopic incision of the bladder neck;(4)prostatic hyperplasia was observed on pathological study.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
1998年第2期104-105,共2页
Chinese Journal of Urology
