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目的:探讨并发逼尿肌收缩力消减现象的BPH者(良性前列腺增生)的手术疗效。方法:2011-01到2013-08,我科BPH者有37例,经过尿流动力学测查,发现伴随逼尿肌收缩力消减现象的BPH者有17例,同时对17例并发逼尿肌收缩力消减现象的BPH者做膀胱造瘘术和TURP手术。结果:在这17例并发逼尿肌收缩力消减现象的BPH者中,膀胱功能在手术1年之内得以恢复的有15例,概率:88.24%,恢复用时:3.95±2.18个月,年龄:67.64±9.47岁。LUTS时长:3.67±1.55年。结论:若逼尿肌的收缩力是因为膀胱出口梗阻而消减,那么膀胱排尿功能在术后的恢复几率就会较大,可在做TURP术的同时做膀胱造瘘术。对于较长病程者,逼尿肌在术后恢复的几率则较低,可只做膀胱造瘘术,若在随访中逼尿肌功能好转,则可做TURP术。
Objective: To investigate the surgical treatment of BPH (benign prostatic hyperplasia) complicated with detrusor contractility. Methods: From January 2011 to August 2013, 37 BPH patients were included in our department. After urodynamic study, 17 BPH patients with detrusor contractility were found, and 17 patients with detrusor contraction BPH who suffered a decrease in force were treated with bladder ostomy and TURP. Results: Of the 17 BPH patients with detrusor contractility, bladder function was recovered within 1 year after operation in 15 cases, with a probability of 88.24%, recovery time of 3.95 ± 2.18 months, and age: 67.64 ± 9.47 years old. LUTS Duration: 3.67 ± 1.55 years. CONCLUSION: If the contractility of detrusor muscle is reduced due to the obstruction of the bladder outlet, the urinary bladder function will be more likely to recover after surgery, and the bladder ostomy can be performed at the same time as TURP. For those with longer course of disease, the probability of detrusor recovery after surgery is lower, which can be used only for cystostomy. If detrusor function improves during follow-up, TURP can be performed.