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目的:探讨分析小体积前列腺增生的外科手术治疗效果。方法:采取回顾性分析我院2011年11月~2013年5月收治小体积90例前列腺患者,所有患者接受前列腺电切术(TURP)加经尿道膀胱颈切开术(TU IBN)。结果:90例患者中,有85例手术成功,占94.44%,手术时间30~60min,平均42min。术后无继发大出血、无经尿道电切综合征发生,术后留置尿管4~6天。术后随访6~18个月,患者排尿持久、顺畅,之后在术后3、9、18个月检测患者Qmax,与同期TURP体积较大的前列腺增生患者相对比,无明显差异,患者无膀胱颈挛缩现象发生,IPSS(5.62.2)分,最大尿流率(183.9)ml/s.结论:运用前列腺电切术(TURP)加经尿道膀胱颈切开术(TU IBN)治疗小体积前列腺增生能更好的解除膀胱颈梗阻,手术时间短,术中输血比率小,是术后预防膀胱颈挛缩较为理想的方法,值得临床推广和应用。
Objective: To investigate the surgical treatment of small volume benign prostatic hyperplasia. Methods: A retrospective analysis of our hospital from November 2011 to May 2013 admitted a small volume of 90 cases of prostate patients, all patients underwent prostatectomy (TURP) plus transurethral bladder neck incision (TU IBN). Results: Among the 90 patients, 85 cases were successfully operated, accounting for 94.44%. The operation time was 30-60 minutes with an average of 42 minutes. No postoperative hemorrhage, no transurethral resection syndrome occurred, postoperative catheter 4 to 6 days. Postoperative follow-up 6 to 18 months, lasting urination, smooth, and then in patients with 3,9,18 months after the test Qmax, with the same period TURP larger volume of benign prostatic hyperplasia patients, no significant difference in patients with no bladder The neck contracture occurred at a score of IPSS (5.62.2) and the maximum flow rate of urine (183.9) ml / s.Conclusion: TURP and TU IBN treatment of small volume prostate Hyperplasia can better relieve bladder neck obstruction, short operative time and small intraoperative blood transfusion rate. It is an ideal method to prevent postoperative bladder neck contracture and is worthy of clinical promotion and application.