TURP联合TUIBN对小体积前列腺增生术后膀胱颈挛缩发生率影响.docVIP

TURP联合TUIBN对小体积前列腺增生术后膀胱颈挛缩发生率影响 　　[摘要] 目的 探讨TURP联合TUIBN对小体积前列腺增生术后膀胱颈挛缩发生率的影响。方法 2011年6月~2013年6月我院共收治50例小体积前列腺增生手术患者，依据随机数字表法将患者分为观察组和对照组两组，每组25例。对照组患者给予TURP，观察组患者给予TURP联合TUIBN治疗。 结果 术后和术后6个月观察组患者的Qmax均明显比对照组高（P0.05）；观察组患者的膀胱颈挛缩、尿路感染发生率0、4%（1/25）均明显低于 对照组8%（2/25）、12%（3/25），且P0.05。结论 TURP联合TUIBN能够显著降低小体积前列腺增生术后膀胱颈挛缩发生率。 　　[关键词] TURP联合TUIBN；小体积前列腺增生术；膀胱颈挛缩发生率；影响 　　[中图分类号] R699.8[文献标识码] B[文章编号] 1673-9701（2014）16-0021-02 　　 　　Impact of TURP joint TUIBN on incidence rate of postoperative bladder veck contracture after small volume benign prostatic hyperplasia surgery 　　BAO Shuangjun SUN Song 　　Orthopedics Department， Chinese Medicine Hospital， Changping District， Beijing 102200，China 　　[Abstract] Objective To investigate the impact of TURP joint TUIBN on incidence rate of postoperative bladder neck contracture after small volume benign prostatic hyperplasia surgery. Methods 50 cases of patients who received small volume benign prostatic hyperplasia surgery in our hospital from June 2011 to June 2013 were selected， they were divided into observation group and control group according to the random number table， 25 cases in each group. The control group were given simply TURP treatment， while the observation group were given TURP joint TUIBN treatment. Results The Qmax postoperative and after 6 months of the observation group were significantly higher（P 0.05）； the bladder neck contracture， urinary tract infection rate 0，4%（1/25） were significantly lower than those of the control group 8%（2/25），12%（3/25）（P 0.05）. Conclusion TURP joint TUIBN can significantly reduce the incidence rate of bladder neck contracture after small volume benign prostatic hyperplasia surgery. 　　[Key words] TURP joint TUIBN； Small volume benign prostatic hyperplasia surgery； Incidence rate of bladder neck contracture； Impact良性前列腺增生是老年男性的一种多发病，极为常见，其发病率随着年龄的增长而升高，对患者的身体健康及生命安全造成了严重的不良影响。TURP作为其中一种手术方式已经得到充分的发展，临床普遍肯定其临床疗效，在前列腺增生症的治疗中可以作为现阶段的金标准，而TUIBN为有效预防术后膀胱颈挛缩提供良好的前提条件，将TURP和TUIBN有机联合，临床实