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目的:回顾性分析前列腺患者进行开放手术后导致尿道狭窄的原因,并提出有效处理方法。方法:研究对象为2010年6月-2012年6月余姚市第二人民医院收治的24例进行开放手术后导致尿道狭窄的前列腺患者,回顾性分析其发生尿道狭窄的原因。结果:行开放性前列腺摘除术的13例患者的尿道狭窄发病原因包括膀胱颈创面狭窄(53.5%)、手术的时间(46.1%)、切除的前列腺重量(46.1%)、留置尿管的时间(61.5%)、留置尿管的材质(53.8%);行前列腺癌根治术11例患者的尿道狭窄发病原因包括前列腺的体积(54.5%)、患者的年龄(81.98%)、肿瘤的体积(63.6%)、包膜侵犯(54.5%)、淋巴结转移(72.7%)、精囊受累(45.4%)、肿瘤复发(45.4%)。结论:对于进行开放手术后导致尿道狭窄的前列腺患者,要详细分析其发病原因,并进行针对性处理。
OBJECTIVE: To retrospectively analyze the causes of urethral stricture after open surgery in patients with prostate and to propose an effective treatment method. Methods: The study included 24 patients with urethral stricture who underwent open surgery from June 2010 to June 2012 in Yuyao Second People’s Hospital. The causes of urethral stricture were retrospectively analyzed. Results: The causes of urethral stricture in 13 patients undergoing open prostatectomy included bladder neck stenosis (53.5%), operation time (46.1%), resected prostate weight (46.1%), indwelling catheter time The incidence of urethral stenosis in 11 patients undergoing radical prostatectomy included prostate volume (54.5%), patient’s age (81.98%), tumor volume (63.6% ), Envelope invasion (54.5%), lymph node metastasis (72.7%), seminal vesicle involvement (45.4%) and tumor recurrence (45.4%). CONCLUSIONS: For patients with prostatic diseases leading to urethral stricture after open surgery, the causes of the disease should be analyzed in detail and targeted treatment should be carried out.