12例前列腺增生出血的诊治

目的探讨前列腺增生出血的诊治方法。方法回顾性分析我院近年来诊治的12例前列腺增生出血患者的临床资料，并结合文献复习讨论。结果2例行膀胱造瘘及睾丸切除术，4例应用止血药等保守治疗后血尿消失，6例行耻骨上前列腺摘除术。随访1～5年，6例行耻骨上前列腺摘除术患者排尿通畅，无血尿；4例保守治疗患者中3例无血尿，前列腺增生症状无加重，另1例因尿潴留行耻骨上前列腺摘除术；2例造瘘及睾丸切除患者术后无血尿。结论前列腺增生出血病人多是急、重、危症，常规保守治疗无效时须手术治疗，手术止血同时应尽量解决前列腺增生问题。

Diagnosis and Treatment of the Gross Hematuria from BPH(A Report of 12 cases)

Objective To investigate the diagnosis and treatment of the gross hematuria from BPH. Methods The clinical data of 12 cases of the gross hematuria from BPH were analyzed and discussed combined with literature. Results Among them, 2 eases were operated on the suprapuhie eystostomy and orehideetomy, and without hematuria 4 cases were treated with hemocoagulase and 3 cases were cured with conventional treatment without hematuria and 1 case was operated on the suprapuhic prostatectomy for retention of urine. The others（6 cases） were operated on the suprapubic prostatectomy who urinated fluently prostoperatively without hematuria on following-up for 1～5 years. Conclusion The gross hematuria from BPH is emergent,serious and dangerous. The patient who is suffer from it has to be operated when he fails to respond to conservative treatment with routine hemostatic. The operative purpose is going to stanch and remove BPH.