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目的探讨前列腺增生症并发肾后性肾功能不全的处理方法和手术治疗的安全性及其术后效果。方法对47例肾功能不全的BPH患者,经留置尿管或耻骨上膀胱造瘘尿液引流,在肾功能改善后行经尿道前列腺电切术。结果本组持续尿液引流后,肾功能均有显著的恢复。所有病例行经尿道前列腺电切术,术中及术后顺利。术后随访6月～2年,42例排尿通畅肾功能正常。结论尿液引流为首选处理手段,肾功能恢复是手术的必要条件,经尿道前列腺电切可为治疗首选。
Objective To investigate the treatment of benign prostatic hyperplasia complicated with renal renal insufficiency and the safety of surgical treatment and its postoperative effects. Methods 47 cases of renal dysfunction in patients with BPH, indwelling catheter or suprapubic cystostomy urine drainage, improved renal function after transurethral resection of the prostate. Results This group continued urinary drainage, renal function were significantly recovered. All cases underwent transurethral resection of the prostate, which was successful during and after operation. Follow-up after 6 months to 2 years, 42 cases of urinary tract obstruction of normal renal function. Conclusion Urine drainage is the first choice for treatment. Renal function recovery is a necessary condition for surgery. Transurethral resection of the prostate can be the first choice of treatment.