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小数良性前列腺增生病人缺乏典型的症状,故常常延误诊断,致使慢性尿滞留,损害上尿路功能。作者在1982。1～1985。12月间共作750例前列腺切除术,其中26例残余尿高达1000ml以上,而没有明显的前列腺增生症状。无一例合并糖尿病及神经系统疾病。患者58～83岁,平均73岁。16例(61.5％)主诉腹痛、虚弱、失重、贫血或腹部肿块,进入内科或外科治疗;另10例(38.5％)就诊泌尿外科,表现为尿脓毒病、充溢性尿失禁和肉眼血尿。入院仔细询问病史后发现,22例(84.6％)有不同程度尿频和尿线无力。术前IVP或B超检查全有巨大膀胱,20例(77％)伴双侧上尿路扩张,2例为单侧
Fractional benign prostatic hyperplasia patients lack typical symptoms, it is often delayed diagnosis, resulting in chronic urinary retention, damage upper urinary tract function. The author in a total of 750 cases of prostatectomy between January 1982 to December December, of which 26 cases of residual urine up to 1000ml or more, but no obvious symptoms of benign prostatic hyperplasia. No case of diabetes and neurological diseases. Patients 58 to 83 years old, an average of 73 years old. Sixteen patients (61.5%) complained of abdominal pain, weakness, weightlessness, anemia or abdominal mass, and then entered medical or surgical treatment. The other 10 patients (38.5%) were referred for urological surgery, showing urinary sepsis, overflow incontinence and gross hematuria. Admitted to ask a careful history and found that 22 cases (84.6%) had varying degrees of urinary frequency and urinary weakness. Preoperative IVP or B ultrasound examination of the huge bladder, 20 cases (77%) with bilateral upper urinary tract dilatation, 2 cases of unilateral