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分析
投稿时间:2016-05-06  修订日期:2016-05-06  点此下载全文
引用本文:高国君,孙立江,王沛涛,王新生.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分析[J].医学研究杂志,2016,45(11):173-176
DOI: 10.11969/j.issn.1673-548X.2016.11.044
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作者单位E-mail
高国君 266071 青岛大学  
孙立江 266000 青岛大学医学院附属医院泌尿外科  
王沛涛 266000 青岛大学医学院附属医院泌尿外科  
王新生 266000 青岛大学医学院附属医院泌尿外科 wangxingsheng321@126.com 
中文摘要:目的 探讨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效果。方法 回顾性分析于2014年9月~2015年11月在笔者医院采用经尿道膀胱颈电切术治疗的37例慢性前列腺炎合并膀胱颈梗阻患者的治疗经过,分析最大尿流率、残余尿量、手术疗效。结果 治疗后,平均最大尿流率为20.8±2.4ml/s,平均残余尿量为9.2±0.9ml,与术前相比差异有统计学意义(P<0.05)。共出现并发症5例,包括尿道外口狭窄1例,肉眼可见血尿3例,逆行射精2例。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的临床疗效确切,对于提高患者生活质量有重要意义,值得推广应用。
中文关键词:经尿道膀胱颈电切术  慢性前列腺炎  膀胱颈梗阻
 
Clinical Analysis of Transurethral Resection of Bladder Neck in the Treatment of Chronic Prostatitis Complicated with Bladder Neck Obstruction
Abstract:Objective To study the clinical effect of transurethral resection of bladder neck in the treatment of chronic prostatitis complicated with bladder neck obstruction. Methods Retrospective analysis of the treatment course of 37 cases of patient with chronic prostatitis complicated with bladder neck obstruction treated in our hospital from September 2014 to November 2015. The maximum urinary flow rate, residual urine volume and surgical effect were analyzed. Results After treatment, the average maximum urinary flow rate was 20.8±2.4ml/s, and the average residual urine volume was 9.2±0.9ml, the difference was statistically significant than before(P<0.05).Complications occurred in 5 cases, including 1 cases of urethral stricture, 3 cases of gross hematuria and 2 cases of retrograde ejaculation. Conclusion The clinical effect of transurethral resection of bladder neck in the treatment of chronic prostatitis complicated with bladder neck obstruction is exact, it is of great significance to improve the quality of life of patients, and it is worthy of clinical promotion
keywords:Transurethral resection of bladder neck  Chronic prostatitis  Bladder neck obstruction
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