摘要
膀胱颈挛缩(BNC)为前列腺增生术后远期并发症之一,主要症状为排尿困难等,可能由炎症因子刺激及微血管病变等原因所致.BNC可通过术前治疗前列腺炎症及改善微循环,术中行预防性膀胱颈切开及调整器械用法,术后治疗尿路感染及监测瘢痕形成指标进行预防.BNC的手术方式一般为经尿道膀胱颈手术,难治性BNC可采用膀胱颈成形术.本文将从新术式治疗前列腺增生术后BNC的发生机制、预防手段及治疗方式展开综述,以帮助临床工作的开展.
Abstract
Bladder neck contracture(BNC)is one of the long-term complications after benign prostatic hyperplasia surgery,it's main symptom is dysuria,which may be caused by the stimulation of inflammatory factor or microvascular lesions.BNC can be prevented by the treatment of prostatitis and improvement of microcirculation preoperatively,prophylactic bladder neck incision,adjustment of instrument usage intraoperatively,and the treatment of urinary tract infection,monitoring of scar formation indicators postoperatively.The surgical method for BNC is generally transurethral bladder neck surgery,and for refractory BNC,bladder neck reconstruction can be used.This article will review the mechanisms,preventive methods,and treatments of postoperative BNC in the treatment of benign prostate hyperplasia using new surgical methods,in order to assist in clinical work.
基金项目
首都卫生发展科研专项项目(首发2020-2-2033)
NETL
NSTL
万方数据