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目的总结经尿道前列腺电切术治疗前列腺增生(BPH)合并脊髓圆锥损伤性神经膀胱的临床经验。方法对4例合并脊髓圆锥损伤性神经膀胱的BPH患者行经尿道前列腺电切术(TURP)的临床资料进行回顾性分析。结果4例患者术后均能在腹部加压下顺利排尿,随访4～24月,尿流率从术前0～3.4mL/s升至术后17.2～33.7mL/s,剩余尿从220～400mL降至40～60mL。结论TURP治疗前列腺增生合并脊髓圆锥损伤性神经膀胱有一定临床价值。
Objective To summarize the clinical experience of transurethral resection of prostate for the treatment of benign prostatic hyperplasia (BPH) with spinal cord conic injury. Methods The clinical data of 4 cases of transurethral resection of prostate (TURP) were retrospectively analyzed in 4 cases of BPH patients with spinal cord conic injury. Results All 4 patients were able to urinate smoothly under abdominal pressure. During the follow-up period of 4 to 24 months, the urinary flow rate increased from 0 to 3.4 mL / s before operation to 17.2 to 33.7 mL / s after operation, 400mL down to 40 ~ 60mL. Conclusion TURP treatment of benign prostatic hyperplasia with conical spinal cord injury has some clinical value.