??????? (benign prostatic hyperplasia ) - PowerPoint PPT Presentation

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??????? (benign prostatic hyperplasia )

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Title: ??????? (benign prostatic hyperplasia )


1
  • ???????

2
???????(benign prostatic hyperplasia )
  • ??????????????,??????????,????????????

3
BPH??
  • ??????????????BPH?????????

4
??????
5a???
????
??
  • ??????????????????(DHT)?
  • ?????????5a???,??????????????DHT
  • ???????????90?DHT

5
  • ???????????????????,??????????,?????????????5????
    ????????(?25)????(?70)???????????????,??????????
    ???????,????????????

6
(No Transcript)
7
  • ????????

8
  • ????????,?????????????????,??????

9
  • ???????????,???????????,?????,?????????,????,?????
    ??????

10
????????
11
  • ?????,??????,??????
  • ????????
  • ???????,?????

12
??????????
13
????
  • ??????,??????
  • ??????????,??????

????
14
????,????
  • ????????????
  • ???????????????

15
???????
  • ???????,??????,???,????,?????,????
  • ??????????????

W.C.
16
???
  • ???????????,??????,????????????????
  • ?????????????,???????????????,??????
  • ????????????????,??????????
  • ????????????,????????????

17
??1.????
  • ????????????,?????????????????
  • ????????????????,????,??????,????,????????

????
18
2. B ?
  • B????????????
  • ?????????????,????
  • ?????????,??,????
  • ?????

19
3. ??????
  • ??????????
  • ???lt12ml
  • ????????B???
  • ?????????50ml??????????

20
4. ?????
  • ??????????????
  • ???????????????????????
  • ?????lt15ml/s??????
  • lt 10ml/s???????,????????

21
5. ????????(prostate-specific antigen PSA)
  • ????????(PSA)??????????
  • ?????????????????

22
6. ????
  • ???????
  • ??????
  • ???
  • CT MRI
  • ???????

23
????
  • 1??????
  • 2?????
  • 3?????
  • 4???????

????
24
? ?
  • ????
  • ????
  • ????
  • ????

????
25
1. ????
  • ??????????????,????????
  • ??????,???????????,?????????

26
2. ????
  • a?????
  • 5 a??????
  • ????

27
a?????
  • ????a????? ???
  • ???a1 ?????
  • ????? ????
  • ???????????
  • ??????a1A ?????????

??????????? ???
28
5 a??????
  • ????

??????????? ???
29
????
  • ????
  • ????
  • ????
  • ????????

30
????????
  • ????BPH??,?????????????????,???????????,????????
  • ?BPH????????,????????    1. ?????(??????????????
    ????)    2. ????,5a??????????    3. ???????   
    4. ????    5. ????????(?????????)   
    BPH?????????,?????????????,?????????????????????,?
    ????????

31
??????
  • ????????????

?????????
?????????
?????????(TURP)
32
TURP( transurethral resection prostate)
33
TURP
34
????
  • ?????Nd-YAG????????????????????,?????????????(H
    o)?????????,?????
  • ???????????
  • ???????????
  • ???????
  • ??????????????????????????????,????????????

35
??
?????? ??????
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