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中华腔镜泌尿外科杂志(电子版) ›› 2025, Vol. 19 ›› Issue (02) : 226 -234. doi: 10.3877/cma.j.issn.1674-3253.2025.02.017

综述

前列腺增生的外科手术治疗方式选择
王奕1, 孙明2,()   
  1. 1. 524023 湛江,广东医科大学
    2. 529000 江门,广东医科大学江门市中心医院泌尿外科
  • 收稿日期:2024-05-09 出版日期:2025-04-01
  • 通信作者: 孙明

Choices of surgical treatment of benign prostatic hyperplasia

Yi Wang1, Ming Sun2,()   

  1. 1. Guangdong Medical University,Zhanjiang 524023,China
    2. Department of Urology,Jiangmen Central Hospital of Guangdong Medical University,Jiangmen 529000,China
  • Received:2024-05-09 Published:2025-04-01
  • Corresponding author: Ming Sun
引用本文:

王奕, 孙明. 前列腺增生的外科手术治疗方式选择[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(02): 226-234.

Yi Wang, Ming Sun. Choices of surgical treatment of benign prostatic hyperplasia[J/OL]. Chinese Journal of Endourology(Electronic Edition), 2025, 19(02): 226-234.

前列腺增生(BPH)是老年男性常见疾病之一,常导致严重膀胱出口梗阻引起反复尿潴留、感染和肾功能损害等,快速缓解症状的治疗方案首选外科治疗。BPH 外科治疗方案很多,有开放切除、微创电切、剜除、汽化、消融、支架植入和机器人手术等。不同的外科手术治疗方案的适应证选择及疗效不同,临床上需要根据泌尿外科手术医师的擅长术式及患者的特点个体化选择最佳的外科治疗方案,以达到有效缓解症状、快速康复和减少围手术期并发症的目的。本文对BPH 外科治疗方式的选择进行综述,为临床医师决策提供参考。

Benign prostatic hyperplasia (BPH) is one of the common diseases in elderly men,often leading to severe bladder outlet obstruction,resulting in recurrent urinary retention,infections,and renal function impairment.The preferred treatment option for rapid symptom relief is surgical intervention.There are many surgical treatment options for BPH,including open resection,minimally invasive transurethral resection,enucleation,vaporization,ablation,stent placement,and robotic surgery.The indications and efficacy of different surgical treatment options vary,and it is essential to individualize the selection of the best surgical approach based on the expertise of the urologic surgeon and the characteristics of the patient.This article reviews the selection of surgical treatment methods for BPH,providing reference for clinical decision-making.

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