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目的 :探讨良性前列腺增生 (BPH)伴有逼尿肌无力 (ACD)患者的治疗方法和效果。方法 :对尿动力学检查确认有ACD的 12例BPH并发膀胱出口梗阻 (BOO)的患者 (A组 )进行经尿道前列腺电切术 (TURP)或加膀胱颈内切开术 (TUIBN) ,同时与逼尿肌功能正常或高于正常的行TURP的BPH患者 2 4例 (B组 )进行对照分析。结果 :A组术后 7～ 30d复查 ,国际前列腺症状评分 (IPSS)为 12 .5 8± 0 .70分 (P <0 .0 0 1) ,最大尿流率 (Qmax)为11.0 5± 0 .85ml/s (P <0 .0 5 ) ,均比术前有改善 ,但术后效果不如B组明显 (P <0 .0 0 1)。术后 3、6个月复查IPSS及Qmax,两组略有改变 ,但差异无显著性意义 (P >0 .0 5 ) ,剩余尿测定也均在正常范围。术后 3个月对ACD的 5例复查逼尿肌收缩力 ,无明显改善。结论 :对ACD并伴有BOO的BPH患者可以采取电切术治疗
Objective: To investigate the treatment of benign prostatic hyperplasia (BPH) accompanied by detrusor weakness (ACD) in patients with treatment methods and effects. Methods: TURP or TUIBN was performed in 12 patients with bladder outlet obstruction (BOO) who had ACD confirmed by urodynamic examination. Twenty-four BPH patients (group B) with normal or higher than normal detrusor function were compared. Results: In group A, 7 to 30 days postoperatively, the IPSS was 12.58 ± 0.70 (P <0.01), and the maximum flow rate (Qmax) was 11.0 5 ± 0 .85ml / s (P <0.05), both of which improved compared with that before operation, but the effect was not as obvious as that of group B (P <0.01). IPSS and Qmax were reviewed at 3 and 6 months after operation. The two groups changed slightly, but the difference was not significant (P> 0.05). The residual urine test was also in the normal range. After 3 months of ACD 5 cases of detrusor reevaluation review, no significant improvement. Conclusion: The patients with ACH and BPH accompanied with BOO can be treated by electronic resection