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目的 :探讨前列腺增生症 (BPH)再手术的原因。方法 :回顾分析 2 6例 BPH术后再入院手术患者的临床资料 ,再手术原因为膀胱颈挛缩 1 3例、腺体残留复发 1 0例、前列腺癌 3例。结果 :对膀胱颈挛缩及腺体残留复发者均施行开放手术或经尿道电切治疗 ,术后尿路梗阻症状解除。 3例前列腺癌就诊已属晚期 ,施行去势术加氟他胺治疗 ,术后分别于 1 0～ 2 8个月因全身广泛转移导致衰竭而死亡。结论 :BPH开放手术后膀胱颈挛缩 ,TURP颈部切除不够或电灼较多等是 BPH术后再手术的主要原因。TURP术后腺体残留复发率远高于开放性手术 ,其主要原因为腺体切除不够或残留复发所致。
Objective: To investigate the causes of reoperation of benign prostatic hyperplasia (BPH). Methods: A retrospective analysis of 26 cases of BPH postoperative rehospitalization in patients with clinical data, reoperation for bladder neck contracture in 13 cases, residual gland recurrence in 10 cases, 3 cases of prostate cancer. Results: The bladder neck contracture and residual gland recurrence were performed open surgery or transurethral resection of the urethral obstruction symptoms relieved. 3 cases of prostate cancer treatment has been advanced, the implementation of castration plus flutamide treatment, respectively, after 10 ~ 28 months due to extensive systemic metastasis leading to failure and death. CONCLUSION: Bladder neck contracture, insufficient neck excision of TURP or more electrocautery after BPH open surgery are the main reasons of reoperation after BPH. TURP postoperative residual rate of gland recurrence is much higher than open surgery, the main reason for the lack of gland resection or residual recurrence.