前列腺增生症伴有神经源性排尿功能障碍的处理-东南大学学报医学版

前列腺增生症伴有神经源性排尿功能障碍的处理

单位：东南大学附属中大医院,泌尿外科,

分类号：R697.32

出版年·卷·期（页码）：2001·20·第四期（264-265）

摘要：

目的:提高对前列腺增生症伴有神经源性排尿功能障碍的认识和处理水平.方法:回顾分析14例前列腺增生症伴有神经源性排尿功能障碍患者的临床资料、尿动力学检查、诊断、处理及预后情况.结果:14例中行前列腺电气化9例,耻骨上经膀胱前列腺摘除术1例,膀胱永久造瘘2例,药物保守治疗2例.电气化患者中1例出现永久性尿失禁,1例术后1年又出现增生,经再次气化治疗后痊愈, 其余患者排尿均明显改善, 残余尿减少或消失.结论:前列腺增生症伴有神经源性排尿功能障碍并不少见,通过细致的体检和尿动力学检查,明确神经源性排尿功能障碍的严重程度,选择恰当的治疗方案能够改善排尿症状,减少永久膀胱造瘘,最大限度地提高病人的生活质量.

Objective To increase the knowledge level of benign prostatic hyperplasia(BPH) accompanied with neurogenic urination disorders.Method Retrospective analysis of the clinic and urinary dynamic data,diagnosis,treatment and prognosis of 14 cases with BPH with neurogenic urination disorders.Results 9 cases were treated with transurethral vaporization of the prostate (TVP),1 was with suprapubic prostatectomy,2 were with stoma,2 were by medicine.Only 1 case had the urinary incontinence and one had to receive TVP once more because of BPH after one year.Other patients with urination disorders were improved obviously.Residual urine dropped.Conclusion BPH is often accompanied with neurogenic urination disorders.By careful physical examination, urinary dynamic and appropriately treatment,it is possible to reduce patients’ urination complaint,avoid permanent bladder stoma,and improve quality of life.

参考文献：

[1] Nadelhaft I, VERA P L. Reduced urinary bladder afferent conduction velocit ies in streptozocin diabetic rats. 1992(2). doi:10.1016/0304-3940(92)90455-G
[2] 陈军, 刘忠歧, 谭玉杰. 糖尿病神经源性膀胱--附6例X线分析, 1998(8)
[3] 吴阶平. 泌尿外科, 1993

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录