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目的 :探讨纤维增生性膀胱出口梗阻 ( FBOO )的诊断和开放手术的处理原则。方法 :从 317例开放手术治疗前列腺增生症 ( BPH )的病例中筛选出 FBOO 5 0例 ,进行分析。结果 :2 7例 ( 5 4.0 % )有膀胱颈挛缩 ,43例( 86 .0 % )有膀胱颈后唇抬高。本组 FBOO占同期 BPH开放手术的 15 .8%。 31例行腺体切除加 Y - V成形加后唇楔形切除术 ,16例行腺体切除加后唇切除术 ,3例仅行腺体切除 ,结果以接受 Y- V成形术者疗效最佳。结论 :膀胱颈挛缩和膀胱颈后唇抬高是 FBOO的主要原因 ,当 BPH患者行 B超、膀胱镜、直肠指检提示前列腺体积小 ,无中叶增生 ,膀胱颈后唇抬高时应高度怀疑有 FBOO可能。开放手术治疗以腺体切除加 Y- V成形加后唇楔形切除术疗效最佳
Objective: To investigate the diagnosis and treatment of fibrovascular bladder outlet obstruction (FBOO). Methods: A total of 50 FBOO cases were screened from 317 cases of benign prostatic hyperplasia (BPH) undergoing open surgery. RESULTS: Twenty-seven cases (54.0%) had bladder neck contracture and 43 cases (86.0%) had posterior lip of bladder neck. The group FBOO accounted for 15.8% of BPH open surgery over the same period. 31 patients underwent gland excision plus Y - V shaped plus lip - wedge resection, 16 underwent glandular resection plus lip resection and 3 underwent gland resection. The results were as follows: . CONCLUSION: Bladder neck contracture and posterior lip of bladder neck are the main reasons for FBOO. When BPH patients underwent B-mode ultrasonography, cystoscopy and digital rectal examination, it is suggested that prostate volume should be small, with no mesodermal hyperplasia and elevated posterior lip of bladder neck. FBOO possible. Open surgical treatment with gland excision plus Y-V shaped plus lip wedge resection best effect