Chiu A W, Chen M T, Chang L S, Huang J K, Chen K K, Lin A T, Lee Y H, Lee L M, Chang Y H, Wu H H
Department of Surgery, National Yang-Ming Medical College, Veterans General Hospital-Taipei, R.O.C.
Zhonghua Yi Xue Za Zhi (Taipei). 1990 Jan;45(1):22-5.
From May 1986 to January 1989, a total of 178 patients with small prostate (less than 20 grams) received transurethral resection for benign prostatic hyperplasia. Twenty-two patients (12.4%) developed bladder neck contracture with an average interval of 247 days. The prophylactic bladder neck incision was performed concomitantly with transurethral resection of the prostate on 72 patients. Although smaller adenoma (average weight: 11.4 grams) was resected in this group, the bladder neck contracture occurred in 4 patients (5.6%), compared to 18 contractures in 106 patients (16.9%) who underwent transurethral resection of the prostate alone for larger adenoma (14 grams), P value less than 0.05. The operation time, peri-operative morbidity and hospital stay were similar in these two groups. It appeared that prophylactic bladder neck incision could protect against the formation of bladder neck contracture in patients with small obstructing prostatic adenoma.
1986年5月至1989年1月，共有178例前列腺较小（小于20克）的患者因良性前列腺增生接受经尿道切除术。22例患者（12.4%）出现膀胱颈挛缩，平均间隔时间为247天。72例患者在经尿道前列腺切除术的同时进行了预防性膀胱颈切开术。尽管该组切除的腺瘤较小（平均重量：11.4克），但仍有4例患者（5.6%）发生膀胱颈挛缩，而106例因较大腺瘤（14克）单纯接受经尿道前列腺切除术的患者中有18例发生挛缩（16.9%），P值小于0.05。两组的手术时间、围手术期发病率和住院时间相似。看来预防性膀胱颈切开术可以预防小的梗阻性前列腺腺瘤患者发生膀胱颈挛缩。
