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目的探讨前列腺增生术后再次尿潴留的原因。方法选自2008年4月至2012年4月采取手术治疗良性前列腺增生357例临床资料,观察术后再次尿潴留发生率及原因。结果 357例手术治疗良性前列腺增生发生术后再次尿潴留15例,发生率4.20%,其中252例采取耻骨上前列腺切除术(TVP)发生术后再次尿潴留12例,107例采取经尿道前列腺电切术发生术后再次尿潴留3例;发生主要原因为膀胱颈缩窄、腺体残留复发、尿道狭窄、膀胱功能异常。结论对前列腺增生术后再次尿潴留的原因进行分析可以掌握造成再次尿潴留因素,术中术后进行积极应对,从而避免发生术后再次尿潴留,减轻患者的痛苦。
Objective To investigate the causes of urinary retention after benign prostatic hyperplasia. Methods From April 2008 to April 2012, 357 cases of benign prostatic hyperplasia (BPH) were treated surgically to observe the incidence and cause of re-urination after operation. Results In 357 cases of benign prostatic hyperplasia, there were 15 cases with recurrent urinary retention, the incidence rate was 4.20%. Twelve cases were recurred after 252 cases of suprapubic prostatectomy (TVP) and 107 cases of transurethral prostatectomy Three cases of reoccurrence of urinary retention after surgery occurred; the main reason for the occurrence of bladder neck narrowing, residual gland recurrence, urethral stricture, bladder dysfunction. Conclusion The analysis of the causes of recurrent urinary retention after benign prostatic hyperplasia can grasp the causes of re-urinary retention, and actively respond to postoperative intraoperative and postoperative urinary retention to avoid the pain of patients.