The effectiveness of transurethral incision of versical neck and bladder neck lysis in the treatment of the refractory chronic prostatitis/chronic pelvic pain syndromes (Report 15 of cases)
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摘要: 目的：探讨膀胱颈口电切加松解术治疗难治性慢性前列腺炎/慢性骨盆疼痛综合征（CP/CPPS， Ⅲ型前列腺炎）的疗效。方法：选择符合美国国立卫生研究院（NIH）诊断标准的Ⅲ型前列腺炎患者15例，均行经尿道膀胱颈口电切加松解术。以NIH-慢性前列腺炎症状指数（NIH-CPSI）、前列腺液内白细胞数及最大尿流率为疗效指标进行手术前后的比较。结果：15例患者中，7例显效，5例有效，3例无效。9例ⅢA型患者EPS中的白细胞计数由术前（30.6±10.3）个/HP减少至（10.2±5.7）个/HP。本组显效者占46.7%，有效者占33.3%，无效者占20%，总有效率为80%。结论：经尿道膀胱颈口电切加松解术是治疗难治性CP/CPPS（ⅢB型前列腺炎）的一种有效手段。
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关键词:
- 慢性前列腺炎/慢性骨盆疼痛综合征 /
- 慢性前列腺炎 /
- 经尿道膀胱颈口电切加松解术
Abstract: Objective: To explore the effectiveness of transurethral incision of versical neck(TUIVN) and bladder neck lysis in the treatment of the refractory chronic prostatitis/chronic pelvic pain syndromes(CP/CPPS).Method: We selected 15 patients which accorded with the demands of chronic prostatis type Ⅲ of National Institute of Health(NIH). All patients received the operation of TUIVN and bladder neck lysis. NIH-chronic prostatitis symptom index(NIH-CPSI), counting leukocytes in expressed prostatic secretion(EPS) and maximum flow rate(MFR) were used as the standards of the effectiveness to compare between preoperation and postoperation.Result: The leukocytes counts before and after operation in 9 patients with CP/CPPS Type ⅢA were (30.6±10.3)/HP and (10.2±5.7)/HP respectively. 7 patients in 15patients had marked effect (the scores for symptom decreased greater than or equal to 15), 5 patients had effect (the scores for symptom decreased between 5 and 15) and 3 patients had no effect (the scores for symptom decreased less than 5). The maximum flow rate increase to (15.5±4.3)ml/s after surgery.Conclusion: Transurethral incision of versical neck and bladder neck lysis maybe an effective method to treat the refractory CP/CPPS. -
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