小体积良性前列腺增生的外科处理与膀胱颈部挛缩的预防
Surgical treatment of small-volume prostate and prevention of bladder neck contracture
张泽霖 1夏术阶1
作者信息
- 1. 上海交通大学泌尿外科研究所 上海交通大学医学院附属第一人民医院泌尿外科临床医学中心,上海 200080
- 折叠
摘要
良性前列腺增生是引起中老年男性排尿障碍最常见的一种良性进展性疾病,对患者生活质量造成较大影响.其中,小体积良性前列腺增生因其独特的组织学特点不仅给患者带来痛苦也给医生带来困惑,药物治疗效果差,手术疗效也不确切,尤其是术后膀胱颈挛缩的发生率较高,对患者的生活质量有很大影响.本文对小体积良性前列腺增生的手术方式选择,以及膀胱颈挛缩的预防策略和处理进行综述.
Abstract
Benign prostatic hyperplasia(BPH)is the most common cause of urination disorders in middle-aged and elderly men,and it is a benign progressive disease that significantly impacts the quality of life of patients.Among these,small-volume BPH,due to its unique histological features,not only causes distress to patients but also poses challenges to doctors.Medication often has limited efficacy,and the effectiveness of surgery is uncertain.In particular,the incidence of bladder neck contracture after surgery is relatively high,which greatly affects the patients quality of life.This article provides a review of the surgical approach selection for small-volume BPH,as well as strategies for the prevention and management of bladder neck contracture.
关键词
小体积良性前列腺增生/外科治疗/铥激光剜除术/膀胱颈挛缩Key words
Small-volume benign prostatic hyperplasia/Surgical treatment/Thulium laser enucleation/Bladder neck contracture引用本文复制引用
出版年
2024
NETL
NSTL
万方数据