摘要
目的:探讨复发性前列腺增生的原因、诊治方法及疗效。方法:回顾分析17例复发性前列腺增生患者的临床资料,通过直肠指诊、B超、CT、膀胱镜检及前列腺特异性抗原等检查明确诊断,2例因身体状况较差保守治疗,15例行经尿道等离子双极电切术(bipolar transurethral plasma kinetic prostatectomy,TUPKP)。结果:2例保守治疗的患者,1例长期服用α受体阻滞剂(坦洛新),下尿路症状缓解;1例2年后反复尿潴留行膀胱穿刺造瘘术。15例手术患者术后随访1～6年,均未见症状复发。结论:复发性前列腺增生应结合临床表现、直肠指诊、B超、CT、膀胱镜检及前列腺特异性抗原等检查诊断,依据病情选择不同的治疗措施,有手术指征的患者,TUPKP是安全有效的治疗方法。
Objective ： To discuss the reasons, the diagnosis and treatment method, and the therapeutic effect of recurrent benign prostatic hyperplasia（BPH）. Methods：The clinical data of 17 patients with recurrent BPH were retrospectively analyzed. Digital rectal examination （DRE）, B ultrasound, CT, cystoscopy and PSA were used to make the diagnosis, 2 cases with poor body condition underwent conservative management, 15 cases received bipolar transurethral plasma kinetic prostatectomy （TUPKP）. Results： In the 2 cases with the conservative treatment, one case chronically took α receptor blocker （tamsulosin） ,lower urinary tract symptoms eased, another case underwent bladder puncture and stoma because of repeated urinary retention after two years ; 15 cases with TUPKP were followed up for 1 year to 6 years, no symptom recurrence was found. Conclusions：The diagnosis of recurrent BPH needs combination of clinical manifestation, DRE, B ultrasound, CT, cystoscopy and PSA, different treatment should be chosen according to individual conditions, TUPKP is a safe and effective treatment for patients with operative indication.
出处
《腹腔镜外科杂志》
2012年第6期455-457,共3页
Journal of Laparoscopic Surgery
关键词
前列腺增生
复发
经尿道等离子双极电切术
Prostatic hyperplasia
Recurrence
Transurethral plasma kinetic prostatectomy
