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目的探讨纤维增生型前列腺增生症 (BPH)及其并发疾病的诊断和开放手术的处理原则 ,以提高诊治水平。方法从317份开放手术治疗BPH的病例中筛选出纤维增生型BPH50例 ,并进行了信访。结果这一类型BPH发病年龄偏低 ,平均62.7岁 ,常伴有膀胱颈部病变 ,其中膀胱颈挛缩27例 (54% ) ,膀胱颈后唇抬高16例 (32% ) ,输尿管脊肥厚2例(4 % ) ,以及膀胱功能障碍 ,外理不当易产生尿道狭窄和膀胱颈瘢痕挛缩。结论本组占同期BPH开放手术的15.8%并非少见 ,这一类型的膀胱出口梗阻 (BOO) ,因纤维增生型BPH常伴有膀胱颈挛缩 ,后唇抬高等病变 ,易于误诊或漏诊 ,术前诊断、术中处理均较困难 ,并对诊断与开放手术等问题进行了讨论。
Objective To investigate the principles of diagnosis and open surgery for fibroplasia benign prostatic hyperplasia (BPH) and its complications, in order to improve the diagnosis and treatment. Methods A total of 50 cases of fibroepithelial BPH were screened from 317 cases of open surgery for BPH. Results The age of onset of this type of BPH was low, averaging 62.7 years. Often, bladder neck lesions included 27 cases of bladder neck contracture (54%), 16 cases of posterior lip of bladder neck (32%), 2 cases of ureteral ridge hypertrophy Cases (4%), as well as bladder dysfunction, improper external easy to produce urethral stricture and bladder neck contracture. Conclusion This group accounts for 15.8% of BPH open surgery in the same period is not uncommon, this type of bladder outlet obstruction (BOO), due to fibrous proliferative BPH often accompanied by bladder neck contracture, posterior lip elevation and other diseases, easily misdiagnosed or missed diagnosis, preoperative Diagnosis, intraoperative management are more difficult, and diagnosis and open surgery and other issues were discussed.