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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。探讨经尿道前列腺电切术(TURP)加膀胱颈电切术(TURBN)治疗小体积前列腺增生的疗效。方法:总结经尿道手术治疗SBPH 45例的临床资料,12例单纯行TURP,33例行TURP+TURBN。术后随访1～2年,并对结果进行回顾性小结。结果:单纯TURP组术后有4例并发膀胱颈挛缩,TURP+TURBN组未发生膀胱颈挛缩;且术后IPSS、Qmax、PVR明显优于前者)。结论:SBPH膀胱出口梗阻可通过IPSS,DRE、TRUS、PSA、尿动力学检查、膀胱尿道镜检查确立诊断;经尿道手术治疗SBPH,TURP+TURBN比单纯TURP疗效更确切,可作为首选术式。
To improve the diagnosis and treatment of bladder outlet obstruction (BOO) in small volume benign prostatic hyperplasia (SBPH). To investigate the efficacy of transurethral resection of the prostate (TURP) combined with electrotomy of the bladder neck (TURBN) for the treatment of small-volume benign prostatic hyperplasia. Methods: The clinical data of 45 cases of transurethral resection of SBPH were summarized. TURP was performed in 12 cases and TURP + TURBN in 33 cases. The patients were followed up for 1 to 2 years and the results were retrospectively summarized. Results: There were 4 cases of bladder neck contracture in TURP group and no bladder neck contracture in TURP + TURBN group. IPSS, Qmax and PVR were significantly better than those in TURP + TURBN group. CONCLUSIONS: SBPH bladder outlet obstruction can be diagnosed by IPSS, DRE, TRUS, PSA, urodynamic examination and vesicoureteroscopy. Transurethral resection of SBPH and TURP + TURBN is more effective than TURP alone.