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Thinking of treatment of lower urinary tract symptoms associated with benign prostatic hyperplasia based on the concept of not being bladder alone,not being away from the bladder

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Author:
No author available
Journal Title:
Beijing Journal of Traditional Chinese Medicine
Issue:
12
DOI:
10.16025/j.1674-1307.2023.12.017
Key Word:
"不独膀胱,不离膀胱";良性前列腺增生;下尿路症状

Abstract: 下尿路症状(LUTS)常发生于良性前列腺增生(BPH)患者,目前BPH的治疗逐渐从病因学的角度变为对症状学角度,中西医结合诊疗BPH相关LUTS有其优势.针对因BPH所致的LUTS,应积极通过手术解除梗阻,改善症状;而针对术后膀胱逼尿肌失代偿性受损表现的LUTS,根据"不独膀胱,不离膀胱"观点,基于中医气化思维,辨证施治,通过调理脏腑气机,恢复膀胱气化功能,从而改善症状.在实践探索中发现,对于BPH相关LUTS的管理,中医局部与全身辨证并重、西医辨病与中医辨证相结合,治疗手段互补,临床疗效满意.

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