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目的:观察经尿道膀胱颈电切术治疗慢性前列腺炎合并膀胱颈梗阻的临床疗效。方法:收集、整理36例慢性前列腺炎合并膀胱颈梗阻患者经尿道膀胱颈电切术治疗的临床病历,分析其手术疗效。结果:经尿道膀胱颈电切术治疗后,平均最大尿流率21.2±2.6ml/s,与治疗前11.6±1.0ml/s比较,P<0.05;平均残余尿量0.76±0.29ml,与治疗前24.5±5.3ml比较,P<0.05;拔除留置管后,出现5例术后并发症,均给予对症处理后恢复正常。结论:经尿道膀胱颈电切术治疗慢性前列腺炎合并膀胱颈梗阻患者效果显著,术中科学处理膀胱颈与精阜、尿道括约肌之间的功能关系,把握切割深度能够明显改善患者的临床症状和体征。从而提高手术疗效和生存质量。
Objective: To observe the clinical efficacy of transurethral resection of bladder neck in the treatment of chronic prostatitis with bladder neck obstruction. Methods: The clinical records of 36 patients with chronic prostatitis complicated with bladder neck obstruction who underwent transurethral resection of the bladder neck were collected and sorted out. The curative effect was analyzed. Results: After transurethral resection of bladder neck, the mean maximum flow rate was 21.2 ± 2.6ml / s, P <0.05 compared with 11.6 ± 1.0ml / s before treatment. The average residual urine volume was 0.76 ± 0.29ml, Before 24.5 ± 5.3ml, P <0.05; After removal of indwelling catheter, 5 cases of postoperative complications were given symptomatic treatment returned to normal. CONCLUSION: Transurethral resection of bladder neck for the treatment of patients with chronic prostatitis complicated with bladder neck obstruction has a significant effect. The functional relationship between the bladder neck and sperm cartilage and urethral sphincter is scientifically treated in the surgery. Grasping the depth of cut can significantly improve the clinical symptoms and Signs. Thereby enhancing the surgical efficacy and quality of life.